| Dr Arvind K Agnihotri, MD | |
|
11 Nevins St, Suite 306, Brighton, MA 02135-3514 | |
| (617) 789-2045 | |
| (617) 789-2932 |
| Full Name | Dr Arvind K Agnihotri |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 34 Years |
| Location | 11 Nevins St, Brighton, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528058625 | NPI | - | NPPES |
| 3205126 | Medicaid | MA | |
| 204229 | Other | MA | TUFTS HEALTH PLAN |
| J22001 | Other | MA | BCBS MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 204229 (Massachusetts) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 204229 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth's Medical Center | Brighton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Bmc Affiliated Physicians, Inc. | 9830133123 | 376 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Revere Medical Of Massachusetts Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336976539 PECOS PAC ID: 0749715795 Enrollment ID: O20241127001349 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Arvind K Agnihotri, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () - | Dr Arvind K Agnihotri, MD 11 Nevins St, Suite 306, Brighton, MA 02135-3514 Ph: (617) 789-2045 |
Richard Hyung Sung Moon, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St, Brighton, MA 02135 Phone: 617-789-2045 Fax: 617-789-2932 | |
Michael Charles O'connor Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11 Nevins St, Suite 201, Brighton, MA 02135 Phone: 617-779-6382 Fax: 617-789-2307 |