| Hospitalist Physicians Of Indiana, Pc | |
|
7950 W Jefferson Blvd Fort Wayne IN 46804-4140 | |
| (260) 435-7001 | |
| Not Available |
| Full Name | Hospitalist Physicians Of Indiana, Pc |
|---|---|
| Speciality | Hospitalist |
| Location | 7950 W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Tonya Lynn Scanlan (PE DIRECTOR) |
| Authorized Official Contact | 9543772954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Physicians Of Indiana, Pc 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Hospitalist Physicians Of Indiana, Pc 7950 W Jefferson Blvd Fort Wayne IN 46804-4140 Ph: (260) 435-7001 |
| NPI Number | 1306576277 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 07/03/2025 |
| Medicare PECOS PAC ID | 1052795986 |
|---|---|
| Medicare Enrollment ID | O20220826000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306576277 | NPI | - | NPPES |
| Provider Name | Hung T Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639135155 PECOS PAC ID: 1951290972 Enrollment ID: I20040315001030 |
| Provider Name | Husam A Baki |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316129695 PECOS PAC ID: 3678464989 Enrollment ID: I20040324000428 |
| Provider Name | Marvin Roger Mcbride |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730189499 PECOS PAC ID: 4981684685 Enrollment ID: I20040722001293 |
| Provider Name | Eric Joseph Tuchscherer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013934611 PECOS PAC ID: 1153391792 Enrollment ID: I20040729001265 |
| Provider Name | Vinay Chakravarthy Tumuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528015344 PECOS PAC ID: 5496717431 Enrollment ID: I20041101001170 |
| Provider Name | Anne T Hollingsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902891542 PECOS PAC ID: 3274523998 Enrollment ID: I20050224000125 |
| Provider Name | Julie Crystle Grannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639173594 PECOS PAC ID: 3971557216 Enrollment ID: I20050309000492 |
| Provider Name | Lyle E Beard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093777427 PECOS PAC ID: 1951332345 Enrollment ID: I20050829000858 |
| Provider Name | Tarak R Chokshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235190216 PECOS PAC ID: 4183659105 Enrollment ID: I20050928001141 |
| Provider Name | Babar Zuberi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275532640 PECOS PAC ID: 9335165893 Enrollment ID: I20051205000300 |
| Provider Name | Federico Nicolas Salcedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598781056 PECOS PAC ID: 6901809854 Enrollment ID: I20060814000382 |
| Provider Name | Swapna Joseph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710938592 PECOS PAC ID: 5597765842 Enrollment ID: I20070110000348 |
| Provider Name | M Teresa Tallon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649262155 PECOS PAC ID: 2163524398 Enrollment ID: I20070219000598 |
| Provider Name | Dana L Coates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447216213 PECOS PAC ID: 0749388866 Enrollment ID: I20070613000103 |
| Provider Name | Julie A Harstine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689618316 PECOS PAC ID: 6406954452 Enrollment ID: I20070614000440 |
| Provider Name | Mohsin Hasnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779829 PECOS PAC ID: 2365491073 Enrollment ID: I20070719000487 |
| Provider Name | Thomandram S Sekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295838464 PECOS PAC ID: 3678667615 Enrollment ID: I20070921000070 |
| Provider Name | Nirmala Murugavel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558363887 PECOS PAC ID: 4183718091 Enrollment ID: I20070924000248 |
| Provider Name | Ayoola S Awofadeju |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760423461 PECOS PAC ID: 3870497290 Enrollment ID: I20071116000470 |
| Provider Name | Prakash Karki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558351791 PECOS PAC ID: 0840388989 Enrollment ID: I20071126000669 |
| Provider Name | George J Saliba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740217686 PECOS PAC ID: 2062473531 Enrollment ID: I20080702000158 |
| Provider Name | David U Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104094689 PECOS PAC ID: 1759458797 Enrollment ID: I20080917000500 |
| Provider Name | Zaher A Al Dik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891963344 PECOS PAC ID: 1052488004 Enrollment ID: I20080917000577 |
| Provider Name | Julia L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548422348 PECOS PAC ID: 3870653884 Enrollment ID: I20081120000681 |
| Provider Name | Charles O Olisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265582837 PECOS PAC ID: 9436215019 Enrollment ID: I20090305000647 |
| Provider Name | Anju Varanasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407070162 PECOS PAC ID: 3971603622 Enrollment ID: I20090716000064 |
| Provider Name | Carolina Geneve Flickinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295717262 PECOS PAC ID: 8729030309 Enrollment ID: I20091009000470 |
| Provider Name | Eric W Waldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356501514 PECOS PAC ID: 9830231414 Enrollment ID: I20100120000279 |
| Provider Name | Pamela Kinder Fountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194955757 PECOS PAC ID: 3173651619 Enrollment ID: I20100504000806 |
| Provider Name | Dawn G Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538482658 PECOS PAC ID: 8426186933 Enrollment ID: I20100609000751 |
| Provider Name | Raufu A Lasisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447419858 PECOS PAC ID: 0244360428 Enrollment ID: I20100615000273 |
| Provider Name | Sanjay V Raikar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780990283 PECOS PAC ID: 7810011616 Enrollment ID: I20100831000801 |
| Provider Name | Eamonn M Keane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750558136 PECOS PAC ID: 7113195462 Enrollment ID: I20110713000047 |
| Provider Name | Anand Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346361904 PECOS PAC ID: 7113116112 Enrollment ID: I20110810000406 |
| Provider Name | Zhanna Albany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861654220 PECOS PAC ID: 7012186935 Enrollment ID: I20110811000060 |
| Provider Name | Syed M. Shan-ul-islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487742896 PECOS PAC ID: 2769587948 Enrollment ID: I20110929000480 |
| Provider Name | Bantu S. Chhangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114198223 PECOS PAC ID: 3779655824 Enrollment ID: I20110929000540 |
| Provider Name | Sunil N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467501601 PECOS PAC ID: 8921272550 Enrollment ID: I20111117000167 |
| Provider Name | John Vernon Holeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588749204 PECOS PAC ID: 0042336497 Enrollment ID: I20111207000812 |
| Provider Name | Jennifer Drancik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114960408 PECOS PAC ID: 3577627009 Enrollment ID: I20111230000458 |
| Provider Name | Obaid Shafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144418401 PECOS PAC ID: 8022197532 Enrollment ID: I20120201000888 |
| Provider Name | Mark S Boutros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700992674 PECOS PAC ID: 6800080334 Enrollment ID: I20120409000001 |
| Provider Name | Charles Nwode Onwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831124460 PECOS PAC ID: 2567364466 Enrollment ID: I20120601000004 |
| Provider Name | Satish Nandyala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619107885 PECOS PAC ID: 5991969917 Enrollment ID: I20120604000076 |
| Provider Name | Degesew A Bezza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487961397 PECOS PAC ID: 5991969602 Enrollment ID: I20120608000469 |
| Provider Name | Radomir Piwko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033347166 PECOS PAC ID: 1052577335 Enrollment ID: I20120801000258 |
| Provider Name | Karen D Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639428550 PECOS PAC ID: 6507019031 Enrollment ID: I20130114000228 |
| Provider Name | Mark J Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740486398 PECOS PAC ID: 3971684739 Enrollment ID: I20130126000010 |
| Provider Name | Shimoga Prakash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356485833 PECOS PAC ID: 2860584992 Enrollment ID: I20130829000038 |
| Provider Name | Marina Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124339262 PECOS PAC ID: 1355584574 Enrollment ID: I20130906000493 |
| Provider Name | Siddharth Munsif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184926040 PECOS PAC ID: 0648414375 Enrollment ID: I20140122000140 |
| Provider Name | Dai Takahashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942256540 PECOS PAC ID: 0840202867 Enrollment ID: I20140123001327 |
| Provider Name | Lachelle N Achterberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427396290 PECOS PAC ID: 5193960615 Enrollment ID: I20140414001627 |
| Provider Name | Musa Abdalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548552375 PECOS PAC ID: 5193957520 Enrollment ID: I20140416002392 |
| Provider Name | Carolyn M Whatley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487750022 PECOS PAC ID: 9335030154 Enrollment ID: I20140423001251 |
| Provider Name | Salgram Jaisinghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265544878 PECOS PAC ID: 1759311806 Enrollment ID: I20140429001659 |
| Provider Name | George Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811144678 PECOS PAC ID: 1658530357 Enrollment ID: I20140508002163 |
| Provider Name | Uchenna L Ozor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003123084 PECOS PAC ID: 8527294560 Enrollment ID: I20140613000685 |
| Provider Name | Jasjit Mudhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053600015 PECOS PAC ID: 7719104033 Enrollment ID: I20140811001744 |
| Provider Name | Augusta Uwah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205065471 PECOS PAC ID: 7618194614 Enrollment ID: I20140815000611 |
| Provider Name | Brian Gerrit Ockerse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649426180 PECOS PAC ID: 8325266224 Enrollment ID: I20140905000231 |
| Provider Name | Kimberly Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982003687 PECOS PAC ID: 3476773078 Enrollment ID: I20141002001221 |
| Provider Name | Michael Johns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710208178 PECOS PAC ID: 4284855495 Enrollment ID: I20141031000251 |
| Provider Name | Godson Nnamdi Aronu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104114552 PECOS PAC ID: 2062634405 Enrollment ID: I20141119001165 |
| Provider Name | Jennifer Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164831509 PECOS PAC ID: 9234451493 Enrollment ID: I20141125002378 |
| Provider Name | Rafid Y Mansour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265662308 PECOS PAC ID: 9133375991 Enrollment ID: I20150226001850 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20150316002377 |
| Provider Name | Samer Hassna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477889889 PECOS PAC ID: 9234326661 Enrollment ID: I20150422001104 |
| Provider Name | Augustine Nnadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003163932 PECOS PAC ID: 3870814395 Enrollment ID: I20150609000422 |
| Provider Name | Sharmaine Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053718825 PECOS PAC ID: 5991019804 Enrollment ID: I20150806010200 |
| Provider Name | Beder S Pharaon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073875571 PECOS PAC ID: 3173838828 Enrollment ID: I20150811003508 |
| Provider Name | Christine Marie Montanaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689041451 PECOS PAC ID: 5092022822 Enrollment ID: I20150911000202 |
| Provider Name | Ali R Hazimeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437413721 PECOS PAC ID: 3375854052 Enrollment ID: I20151120000610 |
| Provider Name | Joseph A Mansour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083970016 PECOS PAC ID: 6709038268 Enrollment ID: I20151207001082 |
| Provider Name | Steve Sikorevich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447489125 PECOS PAC ID: 7012158041 Enrollment ID: I20151216001558 |
| Provider Name | Terence Noah Mukonje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497044705 PECOS PAC ID: 0547571515 Enrollment ID: I20160114001728 |
| Provider Name | Vanessa H Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594383 PECOS PAC ID: 4880983527 Enrollment ID: I20160518002517 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20160707000419 |
| Provider Name | Richard D Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376988162 PECOS PAC ID: 8426281213 Enrollment ID: I20160713000910 |
| Provider Name | Susan J Essing-spiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612344 PECOS PAC ID: 0446544027 Enrollment ID: I20160804000263 |
| Provider Name | Javed Syed Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614462 PECOS PAC ID: 2769609957 Enrollment ID: I20160915000090 |
| Provider Name | Rinit H Pancholi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205048212 PECOS PAC ID: 9335291756 Enrollment ID: I20160927002498 |
| Provider Name | Nazrul Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124345830 PECOS PAC ID: 8628204450 Enrollment ID: I20161115001370 |
| Provider Name | Susette Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902343957 PECOS PAC ID: 7517240252 Enrollment ID: I20170203001208 |
| Provider Name | Kanik Kathuria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609118140 PECOS PAC ID: 1951698174 Enrollment ID: I20170315000709 |
| Provider Name | Heather M Hedgepeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821539818 PECOS PAC ID: 0547545303 Enrollment ID: I20170320000649 |
| Provider Name | Arpana Neupane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780993568 PECOS PAC ID: 8426285362 Enrollment ID: I20170417000889 |
| Provider Name | Aman Gebre-egziabher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568754091 PECOS PAC ID: 1850535527 Enrollment ID: I20170425000192 |
| Provider Name | George J. Moussally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013261973 PECOS PAC ID: 6507010600 Enrollment ID: I20170519002408 |
| Provider Name | George H Bechir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649685306 PECOS PAC ID: 8123399664 Enrollment ID: I20170802001655 |
| Provider Name | Brandon Mcintire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420977 PECOS PAC ID: 9234400615 Enrollment ID: I20170803000138 |
| Provider Name | Aaron James Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871012732 PECOS PAC ID: 3072889161 Enrollment ID: I20171017002111 |
| Provider Name | Ranbir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134531072 PECOS PAC ID: 0143596288 Enrollment ID: I20171018000563 |
| Provider Name | Luciano J Pastori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417206079 PECOS PAC ID: 3375846272 Enrollment ID: I20180110000708 |
| Provider Name | Abdul Sami Qazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366508228 PECOS PAC ID: 8022110287 Enrollment ID: I20180112001357 |
| Provider Name | Stephanie A Clouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003314246 PECOS PAC ID: 1658631171 Enrollment ID: I20180201000808 |
| Provider Name | Samiullah M Choudry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275715484 PECOS PAC ID: 4880766526 Enrollment ID: I20180305000955 |
| Provider Name | Phillip E Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407379043 PECOS PAC ID: 2961765375 Enrollment ID: I20180418000581 |
| Provider Name | Viktor Miro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073856019 PECOS PAC ID: 9931482718 Enrollment ID: I20180420000762 |
| Provider Name | Quanri Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992148811 PECOS PAC ID: 7517260938 Enrollment ID: I20180703000421 |
| Provider Name | Amy Harmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154809036 PECOS PAC ID: 0749539260 Enrollment ID: I20180816002038 |
| Provider Name | Anayet U Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453936 PECOS PAC ID: 6103983101 Enrollment ID: I20180821000111 |
| Provider Name | Ksenia Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508352642 PECOS PAC ID: 3274884150 Enrollment ID: I20180918000522 |
| Provider Name | Omer Subeir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750795167 PECOS PAC ID: 6901158930 Enrollment ID: I20181002003332 |
| Provider Name | Nadeem W Najam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982669495 PECOS PAC ID: 9032178934 Enrollment ID: I20181012000679 |
| Provider Name | Uzochukwu Amadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689961088 PECOS PAC ID: 7012226855 Enrollment ID: I20181026000399 |
| Provider Name | Chelsea Z Kellams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063996254 PECOS PAC ID: 4385997923 Enrollment ID: I20181029000492 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20181107000704 |
| Provider Name | Danny Akl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538576269 PECOS PAC ID: 6002184561 Enrollment ID: I20181121002842 |
| Provider Name | Peter Y Shi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569904 PECOS PAC ID: 6901178946 Enrollment ID: I20181212003108 |
| Provider Name | Qussai Salamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447554654 PECOS PAC ID: 5294904462 Enrollment ID: I20181220003361 |
| Provider Name | Cathleen Trias Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730560301 PECOS PAC ID: 4880939669 Enrollment ID: I20181226000544 |
| Provider Name | Mohamed Ibrahim Ayash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346689742 PECOS PAC ID: 5193011757 Enrollment ID: I20190107002511 |
| Provider Name | Mahmud Zamlut |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952579542 PECOS PAC ID: 4688740384 Enrollment ID: I20190109002457 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20190409000829 |
| Provider Name | Norman D Means |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871798892 PECOS PAC ID: 6002701661 Enrollment ID: I20190416001916 |
| Provider Name | Papa Diop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568934271 PECOS PAC ID: 8527300490 Enrollment ID: I20190424000941 |
| Provider Name | Branko Grinfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356436976 PECOS PAC ID: 7012957699 Enrollment ID: I20190430000478 |
| Provider Name | Barbara M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891350328 PECOS PAC ID: 7911240528 Enrollment ID: I20190523000571 |
| Provider Name | Manohar Gajjela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942594106 PECOS PAC ID: 1557582087 Enrollment ID: I20190529000276 |
| Provider Name | Jametria Qwanice Howard-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487064317 PECOS PAC ID: 7810256435 Enrollment ID: I20190529002377 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20190605000275 |
| Provider Name | Ella V Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20190710002266 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598739617 PECOS PAC ID: 6305855958 Enrollment ID: I20190710003041 |
| Provider Name | Jalaram Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366893539 PECOS PAC ID: 9032445697 Enrollment ID: I20190719002538 |
| Provider Name | Isra Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659722460 PECOS PAC ID: 9234465352 Enrollment ID: I20190727000378 |
| Provider Name | Fernando Miguel De Lemos Figueira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992253298 PECOS PAC ID: 9537495239 Enrollment ID: I20190801000708 |
| Provider Name | Adeola Oviawe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053775239 PECOS PAC ID: 7517258130 Enrollment ID: I20190807000175 |
| Provider Name | Timothy Michael Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710317979 PECOS PAC ID: 4183855869 Enrollment ID: I20190815000275 |
| Provider Name | Thalia Gina Kamel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689054215 PECOS PAC ID: 5597002394 Enrollment ID: I20190827003822 |
| Provider Name | Ahmad S Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568316 PECOS PAC ID: 6901197631 Enrollment ID: I20190829001445 |
| Provider Name | Muhammad M Mufti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215396148 PECOS PAC ID: 3173851854 Enrollment ID: I20190912000393 |
| Provider Name | Syed Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578737219 PECOS PAC ID: 3577788199 Enrollment ID: I20190918003100 |
| Provider Name | Sruthi Namana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376995126 PECOS PAC ID: 8022352129 Enrollment ID: I20190930002040 |
| Provider Name | Wajdi Nitham Jamil Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740622513 PECOS PAC ID: 1355647348 Enrollment ID: I20191108001548 |
| Provider Name | Lindsey Leann Sample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588076 PECOS PAC ID: 7113255142 Enrollment ID: I20191205001684 |
| Provider Name | Harpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639371529 PECOS PAC ID: 0042382038 Enrollment ID: I20200103001652 |
| Provider Name | Riad Al Natour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20200116000265 |
| Provider Name | Angela Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457996332 PECOS PAC ID: 7517394182 Enrollment ID: I20200219002664 |
| Provider Name | Danielle M Lucien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083054035 PECOS PAC ID: 7517253636 Enrollment ID: I20200313001724 |
| Provider Name | Cory Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770125908 PECOS PAC ID: 4587092127 Enrollment ID: I20200315000089 |
| Provider Name | Kailash Bajaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538326012 PECOS PAC ID: 1850583667 Enrollment ID: I20200318000953 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20200320002761 |
| Provider Name | Emily D Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760018501 PECOS PAC ID: 1759710049 Enrollment ID: I20200408003718 |
| Provider Name | Saheed Ojo-oniyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649333071 PECOS PAC ID: 1355433343 Enrollment ID: I20200514003173 |
| Provider Name | Zoubair Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952817900 PECOS PAC ID: 9537582234 Enrollment ID: I20200714002580 |
| Provider Name | Ekanga Sunday Petters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144751827 PECOS PAC ID: 8527331321 Enrollment ID: I20200727000534 |
| Provider Name | Waitman Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649700501 PECOS PAC ID: 8325317951 Enrollment ID: I20200818000126 |
| Provider Name | Syed W Madani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699121061 PECOS PAC ID: 2062747470 Enrollment ID: I20200820001961 |
| Provider Name | Hassan Ali Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033631858 PECOS PAC ID: 2769739465 Enrollment ID: I20200827003807 |
| Provider Name | Daniel Joseph De Gala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892612 PECOS PAC ID: 0244517027 Enrollment ID: I20200915003367 |
| Provider Name | Sabeen Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902330988 PECOS PAC ID: 4587083357 Enrollment ID: I20200928002107 |
| Provider Name | Iryna Vitaliyivna Polyakova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447633326 PECOS PAC ID: 1759638430 Enrollment ID: I20201002000088 |
| Provider Name | Peter Hanna Halim Mousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548780125 PECOS PAC ID: 0042630808 Enrollment ID: I20201015002408 |
| Provider Name | Nkoli Anigbogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184710121 PECOS PAC ID: 8123017266 Enrollment ID: I20201028001291 |
| Provider Name | Anna Kemler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831708965 PECOS PAC ID: 3870903859 Enrollment ID: I20201103000240 |
| Provider Name | Rana Beg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962784165 PECOS PAC ID: 8022303593 Enrollment ID: I20201109002105 |
| Provider Name | Imad Ayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515268 PECOS PAC ID: 0042105173 Enrollment ID: I20201123001843 |
| Provider Name | Roozbeh Razmpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447614771 PECOS PAC ID: 9830482140 Enrollment ID: I20201215000661 |
| Provider Name | Zin M Than |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922547702 PECOS PAC ID: 8921410069 Enrollment ID: I20201215001940 |
| Provider Name | Deepti Alluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376074955 PECOS PAC ID: 3971876715 Enrollment ID: I20210122000449 |
| Provider Name | Misti Alsop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578152815 PECOS PAC ID: 5193134948 Enrollment ID: I20210506001672 |
| Provider Name | Joshua T Napier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013981539 PECOS PAC ID: 2062509953 Enrollment ID: I20210527002676 |
| Provider Name | Aaysha Kapila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790045862 PECOS PAC ID: 4183938137 Enrollment ID: I20210629002144 |
| Provider Name | Madeline Chikamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828986 PECOS PAC ID: 6204183544 Enrollment ID: I20210702001617 |
| Provider Name | Justin Dubreus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104320613 PECOS PAC ID: 5799024477 Enrollment ID: I20210708002215 |
| Provider Name | Anas Souqiyyeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508286667 PECOS PAC ID: 0345466694 Enrollment ID: I20210712001354 |
| Provider Name | Christopher William Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265921522 PECOS PAC ID: 2860894912 Enrollment ID: I20210712002484 |
| Provider Name | Abel Duque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962915223 PECOS PAC ID: 4789923319 Enrollment ID: I20210721003636 |
| Provider Name | Decoma Nicole Cavender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954178 PECOS PAC ID: 2567865702 Enrollment ID: I20210726000869 |
| Provider Name | Haris A Noorani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487142527 PECOS PAC ID: 6901145762 Enrollment ID: I20210729002360 |
| Provider Name | Johnny Samir Akl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831680107 PECOS PAC ID: 7719380690 Enrollment ID: I20210729002869 |
| Provider Name | Patricia Dingman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487226601 PECOS PAC ID: 3577966308 Enrollment ID: I20210730001166 |
| Provider Name | Venkatasai Boda Eswara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891138830 PECOS PAC ID: 3870892078 Enrollment ID: I20210803001423 |
| Provider Name | Syed Abdur-rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538658729 PECOS PAC ID: 2961806005 Enrollment ID: I20210811001459 |
| Provider Name | Muhammad Umer Altaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427542414 PECOS PAC ID: 0345640637 Enrollment ID: I20210818001449 |
| Provider Name | Aamer Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346737491 PECOS PAC ID: 0840546073 Enrollment ID: I20210830002523 |
| Provider Name | Deanna Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686835 PECOS PAC ID: 1658503800 Enrollment ID: I20210913001114 |
| Provider Name | Samantha Jean Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174291991 PECOS PAC ID: 5698172575 Enrollment ID: I20210920001552 |
| Provider Name | Crystal Chanel Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730787599 PECOS PAC ID: 8325446271 Enrollment ID: I20211007002240 |
| Provider Name | Baha'a Abdel-fattah Al-azzam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477087369 PECOS PAC ID: 8022440429 Enrollment ID: I20211022000737 |
| Provider Name | Angel Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063181360 PECOS PAC ID: 6305235961 Enrollment ID: I20211119001628 |
| Provider Name | Holly L Yahyawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841957248 PECOS PAC ID: 3375935927 Enrollment ID: I20220112000459 |
| Provider Name | Denise A Sakyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679925531 PECOS PAC ID: 3678808128 Enrollment ID: I20220131002285 |
| Provider Name | Daniel Cordiner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831552264 PECOS PAC ID: 2668753906 Enrollment ID: I20220218000835 |
| Provider Name | Nathalie Douge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891108692 PECOS PAC ID: 9537431986 Enrollment ID: I20220218001824 |
| Provider Name | Angel Y Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912392986 PECOS PAC ID: 8820380413 Enrollment ID: I20220223001053 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437520301 PECOS PAC ID: 1951694165 Enrollment ID: I20220301001812 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20220315001873 |
| Provider Name | Christopher L Petrey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245551795 PECOS PAC ID: 6002052644 Enrollment ID: I20220719002332 |
| Provider Name | Ayman Abulawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932551348 PECOS PAC ID: 1850686551 Enrollment ID: I20220726001802 |
| Provider Name | Ali Hajj Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639673759 PECOS PAC ID: 7618232513 Enrollment ID: I20220726002030 |
| Provider Name | Haroon Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295298958 PECOS PAC ID: 4183953755 Enrollment ID: I20220728003200 |
| Provider Name | Haris Uzair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922568179 PECOS PAC ID: 9739417197 Enrollment ID: I20220801000284 |
| Provider Name | David Alexander Sousa Frias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821589110 PECOS PAC ID: 0143603605 Enrollment ID: I20220816001191 |
| Provider Name | Oyenmwen Edo-ohonba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649731498 PECOS PAC ID: 7719213834 Enrollment ID: I20220908002572 |
| Provider Name | Kwang Jun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922573831 PECOS PAC ID: 4880937077 Enrollment ID: I20220912000823 |
| Provider Name | Nabeel Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104273879 PECOS PAC ID: 3870885759 Enrollment ID: I20220926001984 |
| Provider Name | Rashad Hammour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396234571 PECOS PAC ID: 2466851175 Enrollment ID: I20220927002007 |
| Provider Name | Sulaiman Mapara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538405998 PECOS PAC ID: 5395999502 Enrollment ID: I20220928001295 |
| Provider Name | Osciriah Press |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689061723 PECOS PAC ID: 8527372333 Enrollment ID: I20220928003451 |
| Provider Name | Ameen Masoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508429960 PECOS PAC ID: 5496089369 Enrollment ID: I20221004000684 |
| Provider Name | Mohammed Hamandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912563875 PECOS PAC ID: 0446636815 Enrollment ID: I20221008000233 |
| Provider Name | Kaela Orwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376263699 PECOS PAC ID: 1355718347 Enrollment ID: I20221103002559 |
| Provider Name | Sonja Lynne Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780304162 PECOS PAC ID: 1355710716 Enrollment ID: I20221207002755 |
| Provider Name | Rejith Paily |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316991821 PECOS PAC ID: 9436339504 Enrollment ID: I20230118000119 |
| Provider Name | Jessica Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760978167 PECOS PAC ID: 8820348550 Enrollment ID: I20230208002310 |
| Provider Name | Sanjay Nadesan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720512361 PECOS PAC ID: 3173892262 Enrollment ID: I20230228001277 |
| Provider Name | Ashok Ananthakrishnan Ramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619330396 PECOS PAC ID: 2668710609 Enrollment ID: I20230315002642 |
| Provider Name | Milos Ivanovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063901270 PECOS PAC ID: 1254723786 Enrollment ID: I20230508001646 |
| Provider Name | Nisar Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124124565 PECOS PAC ID: 1658320429 Enrollment ID: I20230607001150 |
| Provider Name | Kirandeep Banga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033734645 PECOS PAC ID: 4486055373 Enrollment ID: I20230608002671 |
| Provider Name | Hawkins Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20230612002470 |
| Provider Name | Shabaz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366430076 PECOS PAC ID: 7113962010 Enrollment ID: I20230614001121 |
| Provider Name | Bassem Koleilat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578680831 PECOS PAC ID: 1456410349 Enrollment ID: I20230615000282 |
| Provider Name | Ehimen Okpoloa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689201733 PECOS PAC ID: 5698199446 Enrollment ID: I20230616003173 |
| Provider Name | Tushar Nayar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619120300 PECOS PAC ID: 3577724772 Enrollment ID: I20230620003191 |
| Provider Name | Hugo J Ramon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649257718 PECOS PAC ID: 1153307871 Enrollment ID: I20230707001049 |
| Provider Name | Amr A El-aawar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780065599 PECOS PAC ID: 2668723875 Enrollment ID: I20230714002948 |
| Provider Name | Margie U. Chinasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871989939 PECOS PAC ID: 2466754791 Enrollment ID: I20230808000687 |
| Provider Name | Faisal Tawwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285927277 PECOS PAC ID: 8921255530 Enrollment ID: I20230815003362 |
| Provider Name | Muhanad Hreh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982193702 PECOS PAC ID: 5597162800 Enrollment ID: I20230817000777 |
| Provider Name | Shakumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174151807 PECOS PAC ID: 2567824683 Enrollment ID: I20230821003730 |
| Provider Name | Michael Joseph Jancovich |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1356963565 PECOS PAC ID: 9739500935 Enrollment ID: I20230912002660 |
| Provider Name | Kumar Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336761824 PECOS PAC ID: 9032573613 Enrollment ID: I20230914003570 |
| Provider Name | Brett Nathan Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164797643 PECOS PAC ID: 7618127580 Enrollment ID: I20230918003863 |
| Provider Name | Olha Huzo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710516976 PECOS PAC ID: 7911382080 Enrollment ID: I20230927001051 |
| Provider Name | Kim Amalia Tavajian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306291687 PECOS PAC ID: 2163714353 Enrollment ID: I20230929000504 |
| Provider Name | Selena Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881214047 PECOS PAC ID: 8022463355 Enrollment ID: I20231006000486 |
| Provider Name | Stuart D Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841829124 PECOS PAC ID: 6406246123 Enrollment ID: I20231006001456 |
| Provider Name | Yadana Oo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427669860 PECOS PAC ID: 3476967084 Enrollment ID: I20231010000571 |
| Provider Name | Lohita Nulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346879624 PECOS PAC ID: 2961892534 Enrollment ID: I20231021000587 |
| Provider Name | Damian Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205516135 PECOS PAC ID: 1052767407 Enrollment ID: I20231021000666 |
| Provider Name | Douglas Spaeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598708398 PECOS PAC ID: 7517869316 Enrollment ID: I20231027001421 |
| Provider Name | Abdallah Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942839717 PECOS PAC ID: 7416378039 Enrollment ID: I20231030001192 |
| Provider Name | Shannon Lee Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871004358 PECOS PAC ID: 2062775364 Enrollment ID: I20231102002750 |
| Provider Name | Joseph Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518348549 PECOS PAC ID: 8022301621 Enrollment ID: I20231114002209 |
| Provider Name | Irina Hillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114422375 PECOS PAC ID: 6608126529 Enrollment ID: I20231227002698 |
| Provider Name | Manuel Del Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669995320 PECOS PAC ID: 5597030692 Enrollment ID: I20240102001754 |
| Provider Name | Majid Taj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295837367 PECOS PAC ID: 1456356831 Enrollment ID: I20240110001055 |
| Provider Name | Cesar A Santillana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063974889 PECOS PAC ID: 9133508146 Enrollment ID: I20240117004206 |
| Provider Name | Mussaret A Zuberi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123409 PECOS PAC ID: 4183528235 Enrollment ID: I20240117004469 |
| Provider Name | Muhammad F Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225491095 PECOS PAC ID: 7012248487 Enrollment ID: I20240117004576 |
| Provider Name | Kathy S Devous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538722202 PECOS PAC ID: 3173865680 Enrollment ID: I20240118004249 |
| Provider Name | Grant Springman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538439609 PECOS PAC ID: 5698907764 Enrollment ID: I20240119003259 |
| Provider Name | Gina Francois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063874303 PECOS PAC ID: 6709160922 Enrollment ID: I20240123003102 |
| Provider Name | Alexis Chika Nworah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386901411 PECOS PAC ID: 6002122496 Enrollment ID: I20240125003157 |
| Provider Name | Heather Marie Beverley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346620101 PECOS PAC ID: 8921405473 Enrollment ID: I20240129000438 |
| Provider Name | Cory Edward Mellon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413608 PECOS PAC ID: 9638427404 Enrollment ID: I20240129000620 |
| Provider Name | Rozina Haile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275096984 PECOS PAC ID: 0547641276 Enrollment ID: I20240224000590 |
| Provider Name | Jeremy James Germaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659057552 PECOS PAC ID: 8123463338 Enrollment ID: I20240227004488 |
| Provider Name | Edith Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235394032 PECOS PAC ID: 4486826443 Enrollment ID: I20240306003214 |
| Provider Name | Anchit Bharat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477041705 PECOS PAC ID: 0547506479 Enrollment ID: I20240404002738 |
| Provider Name | Michele Elisabeth Brengs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798068 PECOS PAC ID: 4486895752 Enrollment ID: I20240415001372 |
| Provider Name | Michelle Isma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982069589 PECOS PAC ID: 2062780679 Enrollment ID: I20240429002495 |
| Provider Name | Ammar Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215596523 PECOS PAC ID: 4688059397 Enrollment ID: I20240515001105 |
| Provider Name | Vijay Veerula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114595394 PECOS PAC ID: 4688075021 Enrollment ID: I20240705001965 |
| Provider Name | Mudassar Adeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790366607 PECOS PAC ID: 6305242330 Enrollment ID: I20240809001117 |
| Provider Name | Prabesh Aryal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609459866 PECOS PAC ID: 3173062783 Enrollment ID: I20240827004255 |
| Provider Name | Alphonso Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962039958 PECOS PAC ID: 8527489731 Enrollment ID: I20240917003819 |
| Provider Name | Taylor Joann Cable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992322713 PECOS PAC ID: 1254754617 Enrollment ID: I20240918002162 |
| Provider Name | Hassan Jalal Abu-hashish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700462652 PECOS PAC ID: 6709327760 Enrollment ID: I20240918002659 |
| Provider Name | Ema Rose Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558114157 PECOS PAC ID: 5193266153 Enrollment ID: I20240918002848 |
| Provider Name | Jade Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053988741 PECOS PAC ID: 8628519428 Enrollment ID: I20240919004041 |
| Provider Name | Maged S Hamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275509044 PECOS PAC ID: 3173585908 Enrollment ID: I20240921000192 |
| Provider Name | Milap Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285210971 PECOS PAC ID: 3072915768 Enrollment ID: I20240923004043 |
| Provider Name | Kevin Shajan Itty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639604515 PECOS PAC ID: 5890064786 Enrollment ID: I20240926000661 |
| Provider Name | Mitra Jafari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659991131 PECOS PAC ID: 7113387267 Enrollment ID: I20240926001674 |
| Provider Name | Rebecca H Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788814 PECOS PAC ID: 7719055664 Enrollment ID: I20241002002465 |
| Provider Name | Faiza Masoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992061592 PECOS PAC ID: 3173821394 Enrollment ID: I20241009001576 |
| Provider Name | Olayinka Akinyemi Akinola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043593049 PECOS PAC ID: 6103145529 Enrollment ID: I20241009002755 |
| Provider Name | Badie Batti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396320263 PECOS PAC ID: 1153853114 Enrollment ID: I20241015002526 |
| Provider Name | Pranjali Dilip Dakwale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053992503 PECOS PAC ID: 0143752907 Enrollment ID: I20241017002245 |
| Provider Name | Rebecca Pratiti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262874 PECOS PAC ID: 6204143472 Enrollment ID: I20241018001774 |
| Provider Name | Evan Paul Bylett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952985400 PECOS PAC ID: 2567801459 Enrollment ID: I20241024002236 |
| Provider Name | Hamza Ishfaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548836521 PECOS PAC ID: 2062943574 Enrollment ID: I20241025001288 |
| Provider Name | Natasha Telesford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639593395 PECOS PAC ID: 1355562927 Enrollment ID: I20241029002654 |
| Provider Name | Jontay Darko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699396861 PECOS PAC ID: 1951740216 Enrollment ID: I20241031000398 |
| Provider Name | Ahmed Abdelrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376160960 PECOS PAC ID: 0143643619 Enrollment ID: I20241111000535 |
| Provider Name | Mohammed Riaz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942224514 PECOS PAC ID: 1052393915 Enrollment ID: I20241111002020 |
| Provider Name | Ricardo Oroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285212647 PECOS PAC ID: 2163831207 Enrollment ID: I20241120000552 |
| Provider Name | Victoria Andarcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063875078 PECOS PAC ID: 4486947645 Enrollment ID: I20241127003286 |
| Provider Name | Rayyan Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144563594 PECOS PAC ID: 7517257611 Enrollment ID: I20250108001089 |
| Provider Name | Amy Kay Liddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114752888 PECOS PAC ID: 3072043926 Enrollment ID: I20250207001833 |
| Provider Name | Yamama Thabit Numan Al-khazraji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841870102 PECOS PAC ID: 4587194071 Enrollment ID: I20250213001065 |
| Provider Name | Deepika Ranjit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407408073 PECOS PAC ID: 7719369586 Enrollment ID: I20250414002617 |
| Provider Name | Ahrarul Haque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881008647 PECOS PAC ID: 9032415047 Enrollment ID: I20250524000080 |
Aptcare In 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845 Phone: 260-602-9574 | |
Northeast Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Anthony Medical Associates P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 N Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-447-8982 Fax: 260-447-4483 | |
Community Open Mri Of Auburn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Lake Ave, Fort Wayne, IN 46805 Phone: 260-422-1491 Fax: 260-423-1421 | |
Ashraf H. Hanna, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 Lake Avenue, Fort Wayne, IN 46815 Phone: 260-422-1906 Fax: 260-422-1925 | |
Act 3 Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7309 Trier Rd, Fort Wayne, IN 46815 Phone: 260-515-3275 | |
Bowen Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 E Rudisill Blvd, Fort Wayne, IN 46806 Phone: 800-342-5653 |