| Nizam Ud Din, | |
|
100 South St, Southbridge, MA 01550-4051 | |
| (508) 765-9771 | |
| (508) 909-7735 |
| Full Name | Nizam Ud Din |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 23 Years |
| Location | 100 South St, Southbridge, 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 |
|---|---|---|---|
| 1861659625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 238494 (Massachusetts) | Secondary |
| 208M00000X | Hospitalist | 0101266349 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 0101266349 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-virginia Hospitalists Pc | 6507245131 | 94 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Hospitalist Medicine Physicians Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770756991 PECOS PAC ID: 5698842235 Enrollment ID: O20081118000789 |
| Entity Name | Hospitalist Medicine Physicians Of Fredericksburg, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447577572 PECOS PAC ID: 7719179407 Enrollment ID: O20101013000902 |
| Entity Name | Hospitalist Medicine Physicians Of Virginia - Richmond, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699311324 PECOS PAC ID: 2860829207 Enrollment ID: O20200225002340 |
| Entity Name | Vituity-virginia Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518611011 PECOS PAC ID: 6507245131 Enrollment ID: O20220628001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Nizam Ud Din, 100 South St, Southbridge, MA 01550-4051 Ph: (508) 765-9771 | Nizam Ud Din, 100 South St, Southbridge, MA 01550-4051 Ph: (508) 765-9771 |
Dr. Andrei Bandarchuk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Sayles St, Southbridge, MA 01550 Phone: 508-764-2400 Fax: 508-909-7770 | |
Dr. Krishnaveni Sirigaddi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 | |
Dr. John Gus Stagias, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 428 Hamilton St, Southbridge, MA 01550 Phone: 508-765-1600 Fax: 508-765-0253 | |
Mary E Frisella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-764-6041 Fax: 508-764-6318 | |
Dr. William Francis Dunn, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 South St, Suite G08, Southbridge, MA 01550 Phone: 508-764-2620 Fax: 508-765-1807 | |
Tai Temple, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-909-7735 | |
Dr. Patrick Alain Duplan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-909-7735 |