| Dr Ravinder K Wali, MD | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (508) 334-3155 | |
| Not Available |
| Full Name | Dr Ravinder K Wali |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 45 Years |
| Location | 55 Lake Ave N, Worcester, 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 |
|---|---|---|---|
| 1821030933 | NPI | - | NPPES |
| 708035-01 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 5852170 | Medicaid | VA | |
| 0061702400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 295408 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
| Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
| Umass Memorial Healthcare-marlborough Hospital | Marlborough, MA | Hospital |
| Healthalliance Hospitals, Inc | Leominster, MA | Hospital |
| Berkshire Medical Center | Pittsfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marlborough Hospitalist Group Pllc | 1254793888 | 19 |
| Umass Memorial Medical Group Inc | 4284539891 | 2096 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Marlborough Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316639321 PECOS PAC ID: 1254793888 Enrollment ID: O20230815001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ravinder K Wali, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Dr Ravinder K Wali, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3155 |
Dr. Adepeju Gbadebo Champion, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-2731 Fax: 774-442-4672 | |
Madaiah Lokeshwari, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6849 | |
Sowmya Korapati, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3550 Fax: 774-442-6715 | |
Lihong Huo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St Ste 655, Worcester, MA 01608 Phone: 888-277-0071 Fax: 508-363-9037 | |
Dr. Herman Anthony Carneiro, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3452 | |
Irma Nadeem Hashmi, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Dr. Madhav Sharma, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5438 |