| Massachusetts Acute Care Specialists Pc | |
|
585 Lebanon St Melrose MA 02176-3225 | |
| (781) 979-3000 | |
| (781) 979-3015 |
| Full Name | Massachusetts Acute Care Specialists Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 585 Lebanon St, Melrose, Massachusetts |
| Authorized Official Name and Position | Rishi Likhi (PRESIDENT) |
| Authorized Official Contact | 8004243672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Massachusetts Acute Care Specialists Pc 14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 Ph: (800) 424-3672 | Massachusetts Acute Care Specialists Pc 585 Lebanon St Melrose MA 02176-3225 Ph: (781) 979-3000 |
| NPI Number | 1306134812 |
|---|---|
| Provider Enumeration Date | 07/18/2011 |
| Last Update Date | 10/20/2020 |
| Medicare PECOS PAC ID | 9234303082 |
|---|---|
| Medicare Enrollment ID | O20111114000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306134812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Claes M Nilsson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912006065 PECOS PAC ID: 2365435351 Enrollment ID: I20040406000501 |
| Provider Name | Nancy Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245307743 PECOS PAC ID: 9032109087 Enrollment ID: I20040513000365 |
| Provider Name | Alina C Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578557724 PECOS PAC ID: 6305816562 Enrollment ID: I20040727000827 |
| Provider Name | Maria C Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366459588 PECOS PAC ID: 3274503164 Enrollment ID: I20040728000969 |
| Provider Name | Anushya Murale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669420311 PECOS PAC ID: 9931168911 Enrollment ID: I20041006000098 |
| Provider Name | Diane Bucknill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376578658 PECOS PAC ID: 0143278606 Enrollment ID: I20050111000728 |
| Provider Name | Hoai-nu Thi Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104813500 PECOS PAC ID: 4587615265 Enrollment ID: I20050210000241 |
| Provider Name | Ann-marie E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053397240 PECOS PAC ID: 0042262602 Enrollment ID: I20050211000606 |
| Provider Name | Lois C Albury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972580306 PECOS PAC ID: 5698729515 Enrollment ID: I20050303000556 |
| Provider Name | Hongzhen Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730276288 PECOS PAC ID: 0042264525 Enrollment ID: I20050308000653 |
| Provider Name | John C Nadolny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588683494 PECOS PAC ID: 2668428020 Enrollment ID: I20050329000564 |
| Provider Name | Nayyer Ghias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275566622 PECOS PAC ID: 2961446547 Enrollment ID: I20050614001341 |
| Provider Name | Cindy C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992779227 PECOS PAC ID: 7618911793 Enrollment ID: I20050620000640 |
| Provider Name | Lori A Steel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548226939 PECOS PAC ID: 5395780928 Enrollment ID: I20050624000048 |
| Provider Name | Margaret O Oakland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548234362 PECOS PAC ID: 4486680964 Enrollment ID: I20050715000540 |
| Provider Name | Ignatius P Oyula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619938958 PECOS PAC ID: 2860425600 Enrollment ID: I20050913000824 |
| Provider Name | Glen S Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629047873 PECOS PAC ID: 8123033503 Enrollment ID: I20060207000771 |
| Provider Name | Taranga Ghosh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639137136 PECOS PAC ID: 0749293421 Enrollment ID: I20060725000116 |
| Provider Name | Mohender Singh Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053379008 PECOS PAC ID: 8325042542 Enrollment ID: I20060831000056 |
| Provider Name | Fariba Miryousefi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609808138 PECOS PAC ID: 9638174261 Enrollment ID: I20061003000408 |
| Provider Name | Theodore K Mlapah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811929342 PECOS PAC ID: 5597765966 Enrollment ID: I20070109000202 |
| Provider Name | Andrea Kopasz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770698573 PECOS PAC ID: 7214939404 Enrollment ID: I20070131000482 |
| Provider Name | Cheryl Ann Hoffman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205975976 PECOS PAC ID: 1153413968 Enrollment ID: I20070824000399 |
| Provider Name | Jose Ramon Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437377967 PECOS PAC ID: 3971699968 Enrollment ID: I20071023000074 |
| Provider Name | Inas Almasry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154310746 PECOS PAC ID: 1052382389 Enrollment ID: I20071218000255 |
| Provider Name | Marcelo Stephen Sampang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336328566 PECOS PAC ID: 3678653938 Enrollment ID: I20071228000160 |
| Provider Name | Beth A Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225228562 PECOS PAC ID: 8921188152 Enrollment ID: I20071231000129 |
| Provider Name | John J Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740499888 PECOS PAC ID: 2567543143 Enrollment ID: I20080122000230 |
| Provider Name | Alireza Toossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780871970 PECOS PAC ID: 4688764541 Enrollment ID: I20081017000329 |
| Provider Name | Rishi Likhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497927388 PECOS PAC ID: 2466510011 Enrollment ID: I20081025000115 |
| Provider Name | Vipul C Chitalia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306883913 PECOS PAC ID: 6507925419 Enrollment ID: I20081106000865 |
| Provider Name | Samborn B Hoey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245476506 PECOS PAC ID: 0840355541 Enrollment ID: I20090212000373 |
| Provider Name | Bin He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821284274 PECOS PAC ID: 6406907625 Enrollment ID: I20090630000187 |
| Provider Name | Beth M Cohen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457385122 PECOS PAC ID: 2466503412 Enrollment ID: I20090702000165 |
| Provider Name | Theresa Piotrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598794505 PECOS PAC ID: 0547227951 Enrollment ID: I20091123000178 |
| Provider Name | Sandra Buss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629122700 PECOS PAC ID: 9638207368 Enrollment ID: I20100517000483 |
| Provider Name | Peter J Dain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043275902 PECOS PAC ID: 6406986827 Enrollment ID: I20100611000173 |
| Provider Name | Rosy Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952550477 PECOS PAC ID: 6002949526 Enrollment ID: I20100804001174 |
| Provider Name | Madhab Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164614517 PECOS PAC ID: 9931233327 Enrollment ID: I20100820000653 |
| Provider Name | Roderick L Mccoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235304254 PECOS PAC ID: 3779607874 Enrollment ID: I20100826000220 |
| Provider Name | Andreea Goldberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215112867 PECOS PAC ID: 7214052448 Enrollment ID: I20100913000058 |
| Provider Name | Edna Markaddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396943205 PECOS PAC ID: 3173716107 Enrollment ID: I20101021001139 |
| Provider Name | Diana A Israeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245541929 PECOS PAC ID: 1052505856 Enrollment ID: I20101104001229 |
| Provider Name | Shideh Amirifeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083763890 PECOS PAC ID: 2062600877 Enrollment ID: I20101221000569 |
| Provider Name | Susan M Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679873145 PECOS PAC ID: 9739369265 Enrollment ID: I20110215000816 |
| Provider Name | Vishal Kuchaculla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837342 PECOS PAC ID: 5799832853 Enrollment ID: I20110325000565 |
| Provider Name | Hina Siddiq Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235388075 PECOS PAC ID: 2668650128 Enrollment ID: I20110705000029 |
| Provider Name | Kwesi A Ntiforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730345794 PECOS PAC ID: 0042356693 Enrollment ID: I20110718000100 |
| Provider Name | Gagandeep Dhingra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497993224 PECOS PAC ID: 6305015611 Enrollment ID: I20110803000013 |
| Provider Name | Nkechinyere Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780982884 PECOS PAC ID: 6002085032 Enrollment ID: I20110809000564 |
| Provider Name | Rachel Clerge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780976134 PECOS PAC ID: 7810167681 Enrollment ID: I20110906000039 |
| Provider Name | Ankit Rohatgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306001177 PECOS PAC ID: 9638341571 Enrollment ID: I20111018000774 |
| Provider Name | Stephanie P Foo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427211986 PECOS PAC ID: 1951574581 Enrollment ID: I20111027000065 |
| Provider Name | Blondel L Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225317670 PECOS PAC ID: 3678746062 Enrollment ID: I20111031000573 |
| Provider Name | Adina Gutium |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639351612 PECOS PAC ID: 7113190018 Enrollment ID: I20111108000854 |
| Provider Name | Chieke Udom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023249406 PECOS PAC ID: 9537333216 Enrollment ID: I20111115000020 |
| Provider Name | Akindele Majekodunmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447411764 PECOS PAC ID: 9436325560 Enrollment ID: I20111220000571 |
| Provider Name | Kathryn Pescatello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114675 PECOS PAC ID: 6305013806 Enrollment ID: I20120125000027 |
| Provider Name | Tammy Lynn Chamberland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528348745 PECOS PAC ID: 6800054032 Enrollment ID: I20120220000831 |
| Provider Name | Udaya Sena Reddy Dendi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992968200 PECOS PAC ID: 0143345421 Enrollment ID: I20120301000900 |
| Provider Name | Sayuj Paudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932330883 PECOS PAC ID: 9032375092 Enrollment ID: I20120720000009 |
| Provider Name | Antonette M Comeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255695912 PECOS PAC ID: 5092965780 Enrollment ID: I20121015000267 |
| Provider Name | Sagar U Nigwekar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710939848 PECOS PAC ID: 7719991793 Enrollment ID: I20121026000393 |
| Provider Name | Marielle Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518215490 PECOS PAC ID: 0840441879 Enrollment ID: I20121121000234 |
| Provider Name | Aylin Akay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942347752 PECOS PAC ID: 1951425495 Enrollment ID: I20130102000400 |
| Provider Name | Sotiraq Terova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457386369 PECOS PAC ID: 2365449816 Enrollment ID: I20130507000708 |
| Provider Name | Adrian Pieleanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235399098 PECOS PAC ID: 3375703275 Enrollment ID: I20130531000223 |
| Provider Name | Patrice Jackson Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386985273 PECOS PAC ID: 8224277116 Enrollment ID: I20130626000173 |
| Provider Name | Nelson K Aweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923199 PECOS PAC ID: 0749423507 Enrollment ID: I20130826000835 |
| Provider Name | Yaw Owusu Baah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710408 PECOS PAC ID: 4183805823 Enrollment ID: I20130923000434 |
| Provider Name | Deephti Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780997825 PECOS PAC ID: 7315171667 Enrollment ID: I20130930000090 |
| Provider Name | Hanna Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255767059 PECOS PAC ID: 8527294321 Enrollment ID: I20131127001200 |
| Provider Name | Saba Khokhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518133602 PECOS PAC ID: 3971656547 Enrollment ID: I20131206000345 |
| Provider Name | Doris Okotie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811246671 PECOS PAC ID: 4385885631 Enrollment ID: I20140106000146 |
| Provider Name | Tasha Christo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861724098 PECOS PAC ID: 4688803679 Enrollment ID: I20140218000245 |
| Provider Name | Jubie Vinu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316375512 PECOS PAC ID: 1456583624 Enrollment ID: I20140423000160 |
| Provider Name | Sunny N Onuigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215249180 PECOS PAC ID: 8527292465 Enrollment ID: I20140430000232 |
| Provider Name | Marie-helene Almonor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972661064 PECOS PAC ID: 6103832365 Enrollment ID: I20140523000566 |
| Provider Name | Marie G Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215376405 PECOS PAC ID: 6507080314 Enrollment ID: I20140618001161 |
| Provider Name | Gaurav C Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508038506 PECOS PAC ID: 4587810288 Enrollment ID: I20140905000971 |
| Provider Name | Badal Kalamkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114214756 PECOS PAC ID: 9335369164 Enrollment ID: I20140930001079 |
| Provider Name | Samad Siraz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278270 PECOS PAC ID: 2961634522 Enrollment ID: I20141112001004 |
| Provider Name | Cedric J Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558523142 PECOS PAC ID: 3678612371 Enrollment ID: I20141119002389 |
| Provider Name | Judith Bellevue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972908143 PECOS PAC ID: 5092030858 Enrollment ID: I20150219000887 |
| Provider Name | Maboh Q R Achiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134526676 PECOS PAC ID: 3173840311 Enrollment ID: I20150326001408 |
| Provider Name | Saw Tee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992032635 PECOS PAC ID: 4880863166 Enrollment ID: I20150330000109 |
| Provider Name | Sheila Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932597499 PECOS PAC ID: 4486975950 Enrollment ID: I20150609001814 |
| Provider Name | Akinyele K Lovelace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104079128 PECOS PAC ID: 6608938030 Enrollment ID: I20150616001140 |
| Provider Name | Sukhchain Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255779146 PECOS PAC ID: 5890006266 Enrollment ID: I20150625002706 |
| Provider Name | Chong Shou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508125535 PECOS PAC ID: 6709193618 Enrollment ID: I20150909002272 |
| Provider Name | Tiffany Lynne Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083028716 PECOS PAC ID: 0941428742 Enrollment ID: I20150918000444 |
| Provider Name | Vishal Jariwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316209190 PECOS PAC ID: 6608184312 Enrollment ID: I20150930000483 |
| Provider Name | Tarun Baveja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619222585 PECOS PAC ID: 5991014144 Enrollment ID: I20151029000430 |
| Provider Name | Jackie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982071205 PECOS PAC ID: 5991015687 Enrollment ID: I20151109002294 |
| Provider Name | Sundeep Srikakulam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972851491 PECOS PAC ID: 1153621339 Enrollment ID: I20151119000466 |
| Provider Name | Praveen Devineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245586346 PECOS PAC ID: 3971803503 Enrollment ID: I20151203000312 |
| Provider Name | Jessica L Anzaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883973 PECOS PAC ID: 3779884556 Enrollment ID: I20151221001708 |
| Provider Name | Lisa Lynn Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578932984 PECOS PAC ID: 7517269459 Enrollment ID: I20160108000798 |
| Provider Name | Anh N Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366811200 PECOS PAC ID: 3779885363 Enrollment ID: I20160114000259 |
| Provider Name | Adolfo M Pena Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255508735 PECOS PAC ID: 8527192855 Enrollment ID: I20160203002003 |
| Provider Name | Kathleen A Heino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043688948 PECOS PAC ID: 2466758263 Enrollment ID: I20160303002007 |
| Provider Name | Nolene K Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467821462 PECOS PAC ID: 6103122957 Enrollment ID: I20160304001062 |
| Provider Name | Ashley Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821462045 PECOS PAC ID: 2668762667 Enrollment ID: I20160603000373 |
| Provider Name | Shay Hershkovitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780022475 PECOS PAC ID: 9931331063 Enrollment ID: I20160608001969 |
| Provider Name | Kathleen Pucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619334794 PECOS PAC ID: 2961794508 Enrollment ID: I20160630000760 |
| Provider Name | Pouya Mohajer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871819599 PECOS PAC ID: 6901036474 Enrollment ID: I20160722002017 |
| Provider Name | Collins A Tabiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700032471 PECOS PAC ID: 2860660107 Enrollment ID: I20160802002620 |
| Provider Name | Semere Tekie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083070197 PECOS PAC ID: 6406140862 Enrollment ID: I20160808001040 |
| Provider Name | Jaehyun Byun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881824225 PECOS PAC ID: 5698912640 Enrollment ID: I20160908001654 |
| Provider Name | Kerrill J Mulvaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194180281 PECOS PAC ID: 1850688607 Enrollment ID: I20160922001842 |
| Provider Name | Deborah J Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023050531 PECOS PAC ID: 0840439360 Enrollment ID: I20161014000089 |
| Provider Name | Paula B Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366999575 PECOS PAC ID: 2567741192 Enrollment ID: I20161122001231 |
| Provider Name | Kayla A Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770029670 PECOS PAC ID: 1355625021 Enrollment ID: I20170223001496 |
| Provider Name | Ikhlas Mohamad Sarabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104359777 PECOS PAC ID: 3779850227 Enrollment ID: I20170605000991 |
| Provider Name | Jean-luc Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164811741 PECOS PAC ID: 2860761251 Enrollment ID: I20170628000494 |
| Provider Name | Tarek Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114125234 PECOS PAC ID: 2466506472 Enrollment ID: I20170828002561 |
| Provider Name | Venkataraman Munusamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427248962 PECOS PAC ID: 0345432373 Enrollment ID: I20171003007198 |
| Provider Name | Cherie Wildrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083151260 PECOS PAC ID: 3476810300 Enrollment ID: I20171201001724 |
| Provider Name | Shuqin Xing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851735435 PECOS PAC ID: 9335376920 Enrollment ID: I20171205000431 |
| Provider Name | Phyllis Chinyanga-edouard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295261782 PECOS PAC ID: 2961760160 Enrollment ID: I20171218000013 |
| Provider Name | Olasumbo Fadiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656160 PECOS PAC ID: 9234491978 Enrollment ID: I20180316002153 |
| Provider Name | Fauzi N Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699734269 PECOS PAC ID: 6709848450 Enrollment ID: I20180424001006 |
| Provider Name | Laura Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245616796 PECOS PAC ID: 6901160738 Enrollment ID: I20180503000520 |
| Provider Name | Mary Jeannette Hopkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396060133 PECOS PAC ID: 2466686548 Enrollment ID: I20180719000713 |
| Provider Name | Youqin Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134502446 PECOS PAC ID: 9830449107 Enrollment ID: I20180906002792 |
| Provider Name | Catherine J Awuor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386122950 PECOS PAC ID: 3072865039 Enrollment ID: I20181003000875 |
| Provider Name | Jiahua Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700225901 PECOS PAC ID: 4486950110 Enrollment ID: I20181005001422 |
| Provider Name | Alla M Guenin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275802324 PECOS PAC ID: 0345563987 Enrollment ID: I20181207001086 |
| Provider Name | Fadel A Bofarrag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003291279 PECOS PAC ID: 3476852526 Enrollment ID: I20190115003399 |
| Provider Name | Min Zhuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457766651 PECOS PAC ID: 6709182421 Enrollment ID: I20190207002879 |
| Provider Name | Kimberly Lee Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821567801 PECOS PAC ID: 1658610589 Enrollment ID: I20190311001985 |
| Provider Name | Mussa Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770993172 PECOS PAC ID: 3173883774 Enrollment ID: I20190522000649 |
| Provider Name | Nonso Ernest Egbuonu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558689349 PECOS PAC ID: 4789828112 Enrollment ID: I20190606000638 |
| Provider Name | Marybeth Allian-sauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477609055 PECOS PAC ID: 9739376278 Enrollment ID: I20190619000192 |
| Provider Name | Nosheen Jawaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912311408 PECOS PAC ID: 1850663683 Enrollment ID: I20190813001954 |
| Provider Name | Asmabanu Husen Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134576812 PECOS PAC ID: 0749527141 Enrollment ID: I20190925001834 |
| Provider Name | En-haw Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851846513 PECOS PAC ID: 6901138015 Enrollment ID: I20191022003276 |
| Provider Name | Sophia Montissol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821596149 PECOS PAC ID: 8820320955 Enrollment ID: I20191023000188 |
| Provider Name | Nathaniel Minh Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477109627 PECOS PAC ID: 1658705215 Enrollment ID: I20200107002638 |
| Provider Name | Danat English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316406655 PECOS PAC ID: 2567898398 Enrollment ID: I20200213002891 |
| Provider Name | Vanja Calantropo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992344519 PECOS PAC ID: 6608207543 Enrollment ID: I20200511000426 |
| Provider Name | Catherine Cushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275187825 PECOS PAC ID: 5597196295 Enrollment ID: I20200513001711 |
| Provider Name | Mayra Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073074464 PECOS PAC ID: 4082034996 Enrollment ID: I20201014003699 |
| Provider Name | Lucienne Lamothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358576 PECOS PAC ID: 9234549650 Enrollment ID: I20201113000069 |
| Provider Name | Peter Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003173592 PECOS PAC ID: 1557597176 Enrollment ID: I20201130002622 |
| Provider Name | Shams Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639607963 PECOS PAC ID: 5294006169 Enrollment ID: I20201208001580 |
| Provider Name | Evgjeni Xhoxhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104209717 PECOS PAC ID: 0941550404 Enrollment ID: I20210201000980 |
| Provider Name | Kashif Samad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033650452 PECOS PAC ID: 2062750557 Enrollment ID: I20210218000639 |
| Provider Name | Vikram Paruchuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245689645 PECOS PAC ID: 0941618656 Enrollment ID: I20210419001566 |
| Provider Name | Shabaz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366430076 PECOS PAC ID: 7113962010 Enrollment ID: I20210421001439 |
| Provider Name | Upenkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231140 PECOS PAC ID: 4688911092 Enrollment ID: I20210913002134 |
| Provider Name | Courtney Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598421638 PECOS PAC ID: 1153718275 Enrollment ID: I20220420000642 |
| Provider Name | Yijia Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194284240 PECOS PAC ID: 1850625617 Enrollment ID: I20220615001652 |
| Provider Name | Blandine T Pousseu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487324638 PECOS PAC ID: 3678955424 Enrollment ID: I20220727000351 |
| Provider Name | Kushal Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457736274 PECOS PAC ID: 4486956471 Enrollment ID: I20220811003639 |
| Provider Name | Julie Chiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184288219 PECOS PAC ID: 2062895162 Enrollment ID: I20220823002399 |
| Provider Name | Karen L Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851853030 PECOS PAC ID: 3779810122 Enrollment ID: I20220824002162 |
| Provider Name | Eric Benjamin Mbedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629538681 PECOS PAC ID: 5799160206 Enrollment ID: I20220920002208 |
| Provider Name | Lisa C Cefalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619613460 PECOS PAC ID: 5092191452 Enrollment ID: I20221007002638 |
| Provider Name | Aglisa Memia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346800810 PECOS PAC ID: 6002283819 Enrollment ID: I20221108002828 |
| Provider Name | Jacqueline Deane Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760119325 PECOS PAC ID: 8123496734 Enrollment ID: I20221201000904 |
| Provider Name | Apryle Marie Gould |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023404985 PECOS PAC ID: 7618289174 Enrollment ID: I20230113001943 |
| Provider Name | Brenda A Nyamogo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912325176 PECOS PAC ID: 9436376530 Enrollment ID: I20230207002672 |
| Provider Name | Franca Nkiru Egbunike-omoruyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942827639 PECOS PAC ID: 5092170951 Enrollment ID: I20230427001441 |
| Provider Name | Khushboo Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235757675 PECOS PAC ID: 7214343243 Enrollment ID: I20230711001852 |
| Provider Name | Prava Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013531821 PECOS PAC ID: 2466816905 Enrollment ID: I20230915002439 |
| Provider Name | Jenna Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073391926 PECOS PAC ID: 8123478906 Enrollment ID: I20231219003543 |
| Provider Name | Abrielle Christina Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720784176 PECOS PAC ID: 3678915295 Enrollment ID: I20240529001012 |
| Provider Name | Dimple Chhatlani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306373485 PECOS PAC ID: 5799102646 Enrollment ID: I20240605000975 |
| Provider Name | Susette Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902343957 PECOS PAC ID: 7517240252 Enrollment ID: I20240607002096 |
| Provider Name | Gopi Bharat Faldu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164926697 PECOS PAC ID: 9234461799 Enrollment ID: I20240620002100 |
| Provider Name | Evan Qu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700463858 PECOS PAC ID: 9931643681 Enrollment ID: I20240705000156 |
| Provider Name | Lawrence Ramos Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922442508 PECOS PAC ID: 0244468510 Enrollment ID: I20240729001372 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20240808001869 |
| Provider Name | Somin Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083244859 PECOS PAC ID: 3476908575 Enrollment ID: I20241002003198 |
| Provider Name | Dimitri Philippe Archer German |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861019135 PECOS PAC ID: 1355782954 Enrollment ID: I20250320002380 |
| Provider Name | Christiana Ujialele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174321202 PECOS PAC ID: 2860902970 Enrollment ID: I20250609001053 |
Melrose Wakefield Cardiac Testing Partnership Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon Street (melrose Wakefield Hospital), Melrose, MA 02176 Phone: 781-979-6351 Fax: 781-979-6373 | |
David M. Wahl, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Geneva Rd, Melrose, MA 02176 Phone: 617-877-1000 | |
Nicole Bloor, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Main St, Melrose, MA 02176 Phone: 781-662-2204 Fax: 781-662-2253 | |
Canan Avunduk, Md. Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 Lebanon St, Melrose, MA 02176 Phone: 781-979-0286 Fax: 781-979-0324 | |
Carlo Cecchetti Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Tremont St, Suite 107, Melrose, MA 02176 Phone: 781-665-2058 | |
Nicola Mogavero Md Facr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 792 Main St, Melrose, MA 02176 Phone: 781-665-9066 Fax: 781-662-9758 |