Affiliated Hospitalists, Plc - Medicare Primary Care in Phoenix, AZ

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Affiliated Hospitalists, Plc is a medicare enrolled primary clinic (Hospitalist) in Phoenix, Arizona. The current practice location for Affiliated Hospitalists, Plc is 9225 N 3rd St Ste 300, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 445-0751. The mailing address for Affiliated Hospitalists, Plc is 9225 N 3rd St Ste 300, Phoenix, Arizona and phone number is (602) 445-0751.

Affiliated Hospitalists, Plc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265546261. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 445-0751.

Contact Information

Affiliated Hospitalists, Plc
9225 N 3rd St Ste 300
Phoenix
AZ 85020-2466
(602) 445-0751
(602) 424-8128

Map and Direction


Primary Care Clinic Profile

Full NameAffiliated Hospitalists, Plc
SpecialityHospitalist
Location9225 N 3rd St Ste 300, Phoenix, Arizona
Authorized Official Name and PositionEva A Hernandez (CREDENTIALING MANAGER)
Authorized Official Contact6024450751
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Affiliated Hospitalists, Plc
9225 N 3rd St Ste 300
Phoenix
AZ 85020-2466

Ph: (602) 445-0751		Affiliated Hospitalists, Plc
9225 N 3rd St Ste 300
Phoenix
AZ 85020-2466

Ph: (602) 445-0751

NPI Details:

NPI Number1265546261
Provider Enumeration Date08/18/2006
Last Update Date07/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6204822869
Medicare Enrollment IDO20040421000567

Medical Identifiers

Medical identifiers for Affiliated Hospitalists, Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265546261NPI-NPPES
336563MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Affiliated Hospitalists, Plc acts as a billing entity for following providers:
Provider NameMichael A Angeles
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336120666
PECOS PAC ID: 0749171916
Enrollment ID: I20040324001522
Provider NameCharlton P Haerter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598758336
PECOS PAC ID: 1254327661
Enrollment ID: I20040421001745
Provider NameGabriel Victor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629061445
PECOS PAC ID: 9537157169
Enrollment ID: I20040503001675
Provider NameAntonin Jaros
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669438842
PECOS PAC ID: 1759367865
Enrollment ID: I20040629000405
Provider NameMisty S Evans
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942293782
PECOS PAC ID: 7214901537
Enrollment ID: I20040823001210
Provider NameFrank Ryan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376581538
PECOS PAC ID: 3779544556
Enrollment ID: I20041025000746
Provider NameAashish Sagar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083607816
PECOS PAC ID: 5890759799
Enrollment ID: I20041118001002
Provider NameAmeen Elgash
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518911775
PECOS PAC ID: 2769437516
Enrollment ID: I20050315000612
Provider NameStephen P Nathan
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1356439723
PECOS PAC ID: 5799727004
Enrollment ID: I20050526000615
Provider NameBrian T Sidoti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821081357
PECOS PAC ID: 6305888637
Enrollment ID: I20050526000739
Provider NameJohn E Hortareas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376536193
PECOS PAC ID: 8729020953
Enrollment ID: I20050526000843
Provider NameChristopher D Perez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437144318
PECOS PAC ID: 7517995996
Enrollment ID: I20050727000694
Provider NameVictor S Mandapat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265489439
PECOS PAC ID: 5597797209
Enrollment ID: I20050901000983
Provider NameMichael A Giunta
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1528051190
PECOS PAC ID: 4981621687
Enrollment ID: I20051101000924
Provider NameDebjoti Sensharma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710973037
PECOS PAC ID: 1355369075
Enrollment ID: I20051110000432
Provider NameMatthew W Hemstreet
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275553182
PECOS PAC ID: 1355336074
Enrollment ID: I20060113000753
Provider NameMario F Avila
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740273911
PECOS PAC ID: 1658383658
Enrollment ID: I20060612000058
Provider NameArun R Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962426395
PECOS PAC ID: 8820092760
Enrollment ID: I20060906000594
Provider NameAlvin Mathew
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962431544
PECOS PAC ID: 4385648203
Enrollment ID: I20060907000576
Provider NameErik Michael Ramnath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912002742
PECOS PAC ID: 8224035092
Enrollment ID: I20061109000088
Provider NameSara C Stimsonriahi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023063450
PECOS PAC ID: 5294734752
Enrollment ID: I20061211000181
Provider NameChintan H Mehta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528082849
PECOS PAC ID: 5395744403
Enrollment ID: I20061218000351
Provider NameAmy L Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699760751
PECOS PAC ID: 8729183215
Enrollment ID: I20070411000221
Provider NameErik Maskin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225155716
PECOS PAC ID: 8820195068
Enrollment ID: I20070522000643
Provider NamePeter Parker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164548814
PECOS PAC ID: 9032217393
Enrollment ID: I20070611000116
Provider NameRama M Kunkle
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1386845758
PECOS PAC ID: 3375634322
Enrollment ID: I20070807000029
Provider NameManuel Edwardo Cantillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407054976
PECOS PAC ID: 2264523992
Enrollment ID: I20070809000096
Provider NameMohamad Altriki
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619061736
PECOS PAC ID: 8022003185
Enrollment ID: I20071009000151
Provider NameSamer I Idriss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760503486
PECOS PAC ID: 6002904042
Enrollment ID: I20071108000604
Provider NameArtur S Miernik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881806693
PECOS PAC ID: 4486744588
Enrollment ID: I20071213000060
Provider NameKarla A Puente-shultz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922094309
PECOS PAC ID: 3678658606
Enrollment ID: I20080314000113
Provider NameDouglas A Shuman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184808032
PECOS PAC ID: 4587739792
Enrollment ID: I20080822000632
Provider NameLeroy R Ortiz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366654394
PECOS PAC ID: 9234205204
Enrollment ID: I20080828000123
Provider NameAmarjyot Gill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750358271
PECOS PAC ID: 9032278064
Enrollment ID: I20081106000075
Provider NameJames H Duong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154533255
PECOS PAC ID: 7315006905
Enrollment ID: I20081112000068
Provider NameChristopher J Lang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801007562
PECOS PAC ID: 4486707205
Enrollment ID: I20090727000557
Provider NameKara L Asbury
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1184653263
PECOS PAC ID: 6305990938
Enrollment ID: I20090817000791
Provider NameRyan D Trune
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1609017334
PECOS PAC ID: 7810041233
Enrollment ID: I20090820000154
Provider NameHyong S Choi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194950998
PECOS PAC ID: 0143374249
Enrollment ID: I20090824000247
Provider NameFatima T Malik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447497219
PECOS PAC ID: 8729127253
Enrollment ID: I20091123000390
Provider NameSteven Parker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841287794
PECOS PAC ID: 8820128176
Enrollment ID: I20100611000717
Provider NameConstance Lyne Barner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366435539
PECOS PAC ID: 7810181641
Enrollment ID: I20101104001597
Provider NameKushmit Grewal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952619876
PECOS PAC ID: 7113114125
Enrollment ID: I20101202001193
Provider NameClaire Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184927998
PECOS PAC ID: 8628250073
Enrollment ID: I20110307001004
Provider NameAnkur M Bant
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164544979
PECOS PAC ID: 9638232549
Enrollment ID: I20110602000563
Provider NameAvisheh Stimsonriahi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457556102
PECOS PAC ID: 2365610417
Enrollment ID: I20110718000146
Provider NameBret Bitza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831345529
PECOS PAC ID: 6204006455
Enrollment ID: I20110826000380
Provider NameJansy Kolandra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922333467
PECOS PAC ID: 8820261647
Enrollment ID: I20111022000086
Provider NameRebecca L Zaner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306072905
PECOS PAC ID: 9537327846
Enrollment ID: I20120215000918
Provider NameNeema Mafi
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1558679142
PECOS PAC ID: 9234390519
Enrollment ID: I20120412000695
Provider NameJaime F Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861739856
PECOS PAC ID: 8325284201
Enrollment ID: I20130419000223
Provider NameShannon Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053652289
PECOS PAC ID: 8729226410
Enrollment ID: I20130610000059
Provider NameEthan Joo-hyuk Shim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750512158
PECOS PAC ID: 7911148978
Enrollment ID: I20130802000489
Provider NameJill Graf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669707824
PECOS PAC ID: 4486783065
Enrollment ID: I20130814000794
Provider NameEvan Taylor Holdsworth
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407120421
PECOS PAC ID: 3476795501
Enrollment ID: I20130820000151
Provider NameJudy Y Wu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1801122957
PECOS PAC ID: 4183806656
Enrollment ID: I20130826000012
Provider NameThomas R Taylor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194036566
PECOS PAC ID: 7113155466
Enrollment ID: I20140112000016
Provider NameEmanuel M Pauwels
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871883355
PECOS PAC ID: 8628202272
Enrollment ID: I20140804000641
Provider NameBiju B Mathew
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700170867
PECOS PAC ID: 8820218233
Enrollment ID: I20141007002531
Provider NameCarly J Kowalczyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982017356
PECOS PAC ID: 0547481251
Enrollment ID: I20141022001157
Provider NameChristopher S King
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457641698
PECOS PAC ID: 9638316458
Enrollment ID: I20141208002045
Provider NameDanny H Byun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811286925
PECOS PAC ID: 9931427598
Enrollment ID: I20150410000007
Provider NameGreg Buot Alaestante
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710247887
PECOS PAC ID: 1254657133
Enrollment ID: I20150630002488
Provider NameKurtis W Bradley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174885859
PECOS PAC ID: 5698080117
Enrollment ID: I20150813009303
Provider NameKaren Lynn Sapienza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306101464
PECOS PAC ID: 0840426730
Enrollment ID: I20150831000091
Provider NameMargaret Soliman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861754368
PECOS PAC ID: 8628386075
Enrollment ID: I20151005000469
Provider NameNicolina Martinez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215299813
PECOS PAC ID: 0941519995
Enrollment ID: I20151014002092
Provider NameBrittany T Hines
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508201815
PECOS PAC ID: 0143543744
Enrollment ID: I20160608002368
Provider NameMatthew Degarlais
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275965402
PECOS PAC ID: 4385934819
Enrollment ID: I20160610001941
Provider NameKimberly Collier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417396144
PECOS PAC ID: 2466774161
Enrollment ID: I20160623000666
Provider NameNatalie M Ertz-archambault
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1992060040
PECOS PAC ID: 9537300744
Enrollment ID: I20160715000761
Provider NameDru Dethlefs
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518304708
PECOS PAC ID: 7113160920
Enrollment ID: I20160913000905
Provider NameAshwin C Parekh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023458742
PECOS PAC ID: 4284921792
Enrollment ID: I20160928000012
Provider NameMichael Joseph Rogers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467863951
PECOS PAC ID: 8325315906
Enrollment ID: I20170602000757
Provider NameKevin Ranum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881014918
PECOS PAC ID: 5991073470
Enrollment ID: I20170626001760
Provider NameSidney Mangelsdorf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871950980
PECOS PAC ID: 7810268521
Enrollment ID: I20170728002543
Provider NameNina Sukhrani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265737977
PECOS PAC ID: 4385895135
Enrollment ID: I20170821003481
Provider NameCynthia Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194255703
PECOS PAC ID: 8921364829
Enrollment ID: I20171109000661
Provider NameAmira Attya
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790105054
PECOS PAC ID: 1254698830
Enrollment ID: I20171207000489
Provider NameSummer Tenille Macey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275906984
PECOS PAC ID: 5496059438
Enrollment ID: I20180808000428
Provider NameLuke Hise
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1629481080
PECOS PAC ID: 3173872132
Enrollment ID: I20180823003306
Provider NameKunjan S Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730574658
PECOS PAC ID: 9436409927
Enrollment ID: I20180904002090
Provider NameKhang Tran
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1508253220
PECOS PAC ID: 1456668995
Enrollment ID: I20180910000059
Provider NameAjeet S Nagra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518353465
PECOS PAC ID: 1052625084
Enrollment ID: I20181016002318
Provider NamePhuong Thy Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346621083
PECOS PAC ID: 1759634728
Enrollment ID: I20181022003202
Provider NameMadhavi Boga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346622289
PECOS PAC ID: 9739474057
Enrollment ID: I20181031002801
Provider NameAneesh Sinha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104209402
PECOS PAC ID: 3173876430
Enrollment ID: I20181102001562
Provider NameAbby J Borhan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700271004
PECOS PAC ID: 0648544072
Enrollment ID: I20190117002482
Provider NameDanielle Leora Colin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063991388
PECOS PAC ID: 5395085716
Enrollment ID: I20190321002931
Provider NameSarah A Salama
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629439138
PECOS PAC ID: 2466737697
Enrollment ID: I20190819001529
Provider NameBrandon M Bikowski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780046342
PECOS PAC ID: 0749573855
Enrollment ID: I20190827003890
Provider NameShirin Nafisi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457709149
PECOS PAC ID: 5092089391
Enrollment ID: I20190827003992
Provider NameDaniel Hannon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467801126
PECOS PAC ID: 4789912882
Enrollment ID: I20190828000789
Provider NameAzeen Elahi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598113284
PECOS PAC ID: 6103154117
Enrollment ID: I20190828001860
Provider NameSamuel Oluwaseun Tytler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225423130
PECOS PAC ID: 8123331931
Enrollment ID: I20190928000005
Provider NameTan Vu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932427341
PECOS PAC ID: 2860623212
Enrollment ID: I20191014001587
Provider NameNichole Brianna Wardle-sanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114416989
PECOS PAC ID: 6305271065
Enrollment ID: I20200127002239
Provider NameKathleen Elias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235761115
PECOS PAC ID: 4981031937
Enrollment ID: I20200303002945
Provider NameMorgan Whigham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205360278
PECOS PAC ID: 9436428406
Enrollment ID: I20200422001525
Provider NameDana Sall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992095020
PECOS PAC ID: 6204061468
Enrollment ID: I20200615001280
Provider NameSai Haranath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063446425
PECOS PAC ID: 2062427685
Enrollment ID: I20200908002755
Provider NameMeghan Morris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447538798
PECOS PAC ID: 0547494601
Enrollment ID: I20210428000760
Provider NameHarangad S Bhangoo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235626029
PECOS PAC ID: 1850630518
Enrollment ID: I20210813003204
Provider NameEric A Anderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821592908
PECOS PAC ID: 9638424211
Enrollment ID: I20210820002724
Provider NameShane Zachary
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609372044
PECOS PAC ID: 9436554573
Enrollment ID: I20210826003572
Provider NameSana M Qureshi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215425947
PECOS PAC ID: 1153719299
Enrollment ID: I20211022001392
Provider NameMian Rizwan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437380276
PECOS PAC ID: 0042460412
Enrollment ID: I20220707002252
Provider NameKevin Clark Isidro
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1669935458
PECOS PAC ID: 7517292956
Enrollment ID: I20220711001610
Provider NameJeffrey Wang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972063543
PECOS PAC ID: 6901131291
Enrollment ID: I20220711001937
Provider NameDaniel Chan Kyum Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740742824
PECOS PAC ID: 2567843535
Enrollment ID: I20220721003107
Provider NameDannah Farah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275094401
PECOS PAC ID: 6305228123
Enrollment ID: I20220726003392
Provider NameRobert P Windisch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447819214
PECOS PAC ID: 5597090266
Enrollment ID: I20220726003554
Provider NameBenjamin August Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942864913
PECOS PAC ID: 5496137556
Enrollment ID: I20220805001483
Provider NameHarmony Dixon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336778059
PECOS PAC ID: 7719348705
Enrollment ID: I20230808000799
Provider NameAlec Stampfel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487283529
PECOS PAC ID: 1052773041
Enrollment ID: I20230808000935
Provider NameLogan John Archambault
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235759937
PECOS PAC ID: 0749642734
Enrollment ID: I20230808001094
Provider NameTyler W Minton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902435043
PECOS PAC ID: 7214399237
Enrollment ID: I20230808002547

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.