| Medicine - Aphmfp At Bidmc Inc. | |
|
330 Brookline Ave Hospitalist Program, Pbs 2 Boston MA 02215-5400 | |
| (617) 754-4667 | |
| (617) 632-0215 |
| Full Name | Medicine - Aphmfp At Bidmc Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Brookline Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Alexandra Boer Kimball (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7816327444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine - Aphmfp At Bidmc Inc. 375 Longwood Ave # Masco3 Boston MA 02215-5395 Ph: (617) 632-7441 | Medicine - Aphmfp At Bidmc Inc. 330 Brookline Ave Hospitalist Program, Pbs 2 Boston MA 02215-5400 Ph: (617) 754-4667 |
| NPI Number | 1497151773 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 12/31/2018 |
| Medicare PECOS PAC ID | 6305749987 |
|---|---|
| Medicare Enrollment ID | O20150211001099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497151773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David K Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548238090 PECOS PAC ID: 3476467036 Enrollment ID: I20031118000174 |
| Provider Name | Kristine L Dulaski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841246964 PECOS PAC ID: 2860474103 Enrollment ID: I20040602000309 |
| Provider Name | Heidi H Oconnor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902812506 PECOS PAC ID: 0941270482 Enrollment ID: I20040730000479 |
| Provider Name | Kavitha K Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528036084 PECOS PAC ID: 2264403146 Enrollment ID: I20040804000423 |
| Provider Name | Ateev Mehrotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245221654 PECOS PAC ID: 8628041084 Enrollment ID: I20040816000203 |
| Provider Name | Andrew C Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730291402 PECOS PAC ID: 4688638976 Enrollment ID: I20041116001072 |
| Provider Name | Salah E Reyad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730294752 PECOS PAC ID: 0648218016 Enrollment ID: I20050418000915 |
| Provider Name | David Gomolin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528140985 PECOS PAC ID: 5496794349 Enrollment ID: I20050429000177 |
| Provider Name | Robert F Flaherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528005238 PECOS PAC ID: 4688614274 Enrollment ID: I20050503000794 |
| Provider Name | Dariusz M Hordejuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902884331 PECOS PAC ID: 2860438470 Enrollment ID: I20050706000139 |
| Provider Name | Cindy Lien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326095571 PECOS PAC ID: 4688607815 Enrollment ID: I20050916000834 |
| Provider Name | Michael Zavarin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972581312 PECOS PAC ID: 1254366826 Enrollment ID: I20051003000337 |
| Provider Name | Debbie Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639144074 PECOS PAC ID: 0244257590 Enrollment ID: I20051027000397 |
| Provider Name | Pius Ogagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134107964 PECOS PAC ID: 8628098076 Enrollment ID: I20051130000109 |
| Provider Name | Dipak Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740277052 PECOS PAC ID: 9830112275 Enrollment ID: I20060111000742 |
| Provider Name | Murat A Anamur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487601100 PECOS PAC ID: 4789692336 Enrollment ID: I20060323000648 |
| Provider Name | Roy Stillerman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225077589 PECOS PAC ID: 5597664649 Enrollment ID: I20060504000606 |
| Provider Name | Douglas D Tisdale |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316920416 PECOS PAC ID: 7113938549 Enrollment ID: I20060519000084 |
| Provider Name | Suresh K Yarlagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538191069 PECOS PAC ID: 4486657673 Enrollment ID: I20060808000270 |
| Provider Name | Megan Bradley Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881662864 PECOS PAC ID: 8123021722 Enrollment ID: I20060822000171 |
| Provider Name | Mariel V. Del Rio-cadorette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750328290 PECOS PAC ID: 3173527900 Enrollment ID: I20060908000125 |
| Provider Name | Yvette G Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124095500 PECOS PAC ID: 9537180393 Enrollment ID: I20060926000423 |
| Provider Name | Lauren B Doctoroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952383960 PECOS PAC ID: 4082619093 Enrollment ID: I20060926000449 |
| Provider Name | Wei Gen Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417904806 PECOS PAC ID: 3476558404 Enrollment ID: I20060926000571 |
| Provider Name | Henry J Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801874177 PECOS PAC ID: 6204804198 Enrollment ID: I20061117000100 |
| Provider Name | Caleb P Hale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063588879 PECOS PAC ID: 9739287186 Enrollment ID: I20070607000597 |
| Provider Name | Shoshana J Herzig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689773897 PECOS PAC ID: 1759480155 Enrollment ID: I20070626000582 |
| Provider Name | Fred M Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962469932 PECOS PAC ID: 8325074982 Enrollment ID: I20070906000653 |
| Provider Name | John J Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740499888 PECOS PAC ID: 2567543143 Enrollment ID: I20080122000230 |
| Provider Name | Hung K Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069962 PECOS PAC ID: 2860578846 Enrollment ID: I20080401000279 |
| Provider Name | Alexander R Carbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962504381 PECOS PAC ID: 4789756313 Enrollment ID: I20080626000428 |
| Provider Name | Melissa L Mattison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154310670 PECOS PAC ID: 4981776200 Enrollment ID: I20080702000178 |
| Provider Name | Satya S Dondapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891963294 PECOS PAC ID: 1052483724 Enrollment ID: I20080712000122 |
| Provider Name | David B Feinbloom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407845837 PECOS PAC ID: 8426065269 Enrollment ID: I20080730000290 |
| Provider Name | Chi Chang Daniel Siao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083880538 PECOS PAC ID: 9032283627 Enrollment ID: I20080730000629 |
| Provider Name | Grace S Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134221559 PECOS PAC ID: 0446324818 Enrollment ID: I20080801000564 |
| Provider Name | Ghania Y El Akiki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114117256 PECOS PAC ID: 0244304376 Enrollment ID: I20080807000082 |
| Provider Name | Anjala V Tess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891854170 PECOS PAC ID: 1951476944 Enrollment ID: I20080827000083 |
| Provider Name | Neelam V Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699864413 PECOS PAC ID: 6608942396 Enrollment ID: I20080903000508 |
| Provider Name | Anita Vanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912189804 PECOS PAC ID: 8628145505 Enrollment ID: I20080918000053 |
| Provider Name | Julius J Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114092616 PECOS PAC ID: 2264422302 Enrollment ID: I20080927000155 |
| Provider Name | James Charles Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427164961 PECOS PAC ID: 3577631241 Enrollment ID: I20081008000125 |
| Provider Name | Michelle J Gochioco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790951663 PECOS PAC ID: 1052479383 Enrollment ID: I20081015000340 |
| Provider Name | Daniele D Olveczky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124075163 PECOS PAC ID: 7810058104 Enrollment ID: I20081204000788 |
| Provider Name | Muhammad Bakr Ghbeis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649481045 PECOS PAC ID: 9436214301 Enrollment ID: I20090210000655 |
| Provider Name | Joseph M Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043209380 PECOS PAC ID: 2365507787 Enrollment ID: I20090219000295 |
| Provider Name | Colleen Yavarow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457511883 PECOS PAC ID: 2668521311 Enrollment ID: I20090528000566 |
| Provider Name | Matthew P Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093972184 PECOS PAC ID: 6204987845 Enrollment ID: I20090622000590 |
| Provider Name | Jonathan T Crocker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902855323 PECOS PAC ID: 3072668581 Enrollment ID: I20090908000142 |
| Provider Name | Andrew G Van Vugt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235398629 PECOS PAC ID: 2769538529 Enrollment ID: I20090918000475 |
| Provider Name | Anupam M Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316126733 PECOS PAC ID: 7113069600 Enrollment ID: I20100121000487 |
| Provider Name | Terry Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962628529 PECOS PAC ID: 8527103787 Enrollment ID: I20100227000032 |
| Provider Name | Khaled Sheikh Qasem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437342276 PECOS PAC ID: 5092841361 Enrollment ID: I20100326000280 |
| Provider Name | Charlotte Atiemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851587380 PECOS PAC ID: 6406980879 Enrollment ID: I20100820000351 |
| Provider Name | Alicia Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952578460 PECOS PAC ID: 6507980232 Enrollment ID: I20100901000273 |
| Provider Name | Matthew F Sullivan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427113760 PECOS PAC ID: 6901922004 Enrollment ID: I20100927000542 |
| Provider Name | Deborah R Erlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356533798 PECOS PAC ID: 2365568359 Enrollment ID: I20100928000249 |
| Provider Name | Robert A Fuller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336314764 PECOS PAC ID: 6709078017 Enrollment ID: I20101005000876 |
| Provider Name | Bonnie Dunne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285892075 PECOS PAC ID: 7618162215 Enrollment ID: I20101109000662 |
| Provider Name | Jorge Barinaga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942257688 PECOS PAC ID: 6204021819 Enrollment ID: I20101109000770 |
| Provider Name | Bradley Eisenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326120833 PECOS PAC ID: 2264432616 Enrollment ID: I20110119000010 |
| Provider Name | Douglas J Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174795132 PECOS PAC ID: 0244411940 Enrollment ID: I20110301000703 |
| Provider Name | Jonathan Z Bortinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568622082 PECOS PAC ID: 1557539525 Enrollment ID: I20110718000511 |
| Provider Name | Le Min |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942498845 PECOS PAC ID: 7315034022 Enrollment ID: I20110728000414 |
| Provider Name | William Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760628408 PECOS PAC ID: 4880865385 Enrollment ID: I20110913000658 |
| Provider Name | Dominick Kistler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417009820 PECOS PAC ID: 9032112123 Enrollment ID: I20110919000039 |
| Provider Name | Bhavna R Lall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538336250 PECOS PAC ID: 3779755400 Enrollment ID: I20110930000470 |
| Provider Name | Venkata S Golla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821250325 PECOS PAC ID: 9830351204 Enrollment ID: I20120501000332 |
| Provider Name | Anabela C Da Costa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891867545 PECOS PAC ID: 7416970785 Enrollment ID: I20120622000034 |
| Provider Name | Marisa B Jupiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932360310 PECOS PAC ID: 8325295314 Enrollment ID: I20120827000519 |
| Provider Name | Evan W Gwyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154558500 PECOS PAC ID: 8527216217 Enrollment ID: I20120921000692 |
| Provider Name | Lauge Sokol-hessner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770786980 PECOS PAC ID: 0648303594 Enrollment ID: I20121003000775 |
| Provider Name | Phillip D Messer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053549329 PECOS PAC ID: 3476704164 Enrollment ID: I20121106000043 |
| Provider Name | Amber B Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982831137 PECOS PAC ID: 5890946156 Enrollment ID: I20121114000050 |
| Provider Name | Stephanie I Cody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205098522 PECOS PAC ID: 6204986151 Enrollment ID: I20130311000311 |
| Provider Name | Gopakumar S Sreekumaran Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811201841 PECOS PAC ID: 8527206994 Enrollment ID: I20130701000113 |
| Provider Name | Jared C Grochowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194046748 PECOS PAC ID: 3072753946 Enrollment ID: I20130717000757 |
| Provider Name | Jonathan D Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639498900 PECOS PAC ID: 3476794215 Enrollment ID: I20130722000024 |
| Provider Name | Qian Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225359052 PECOS PAC ID: 6507008539 Enrollment ID: I20130805000170 |
| Provider Name | Jessica R Berwick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639499528 PECOS PAC ID: 3173765054 Enrollment ID: I20130805000777 |
| Provider Name | Amanda Ortengren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407178494 PECOS PAC ID: 7012176886 Enrollment ID: I20130806000240 |
| Provider Name | Tomer Barak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316250343 PECOS PAC ID: 1254575053 Enrollment ID: I20130918000024 |
| Provider Name | Haobo Ma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407015837 PECOS PAC ID: 9830346261 Enrollment ID: I20131004000028 |
| Provider Name | Justin Seth Holtzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769501 PECOS PAC ID: 2062643596 Enrollment ID: I20140327000131 |
| Provider Name | Oneda Haxhistasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699093310 PECOS PAC ID: 6002048550 Enrollment ID: I20140415001413 |
| Provider Name | Afrin Mustafa Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407168065 PECOS PAC ID: 1850533985 Enrollment ID: I20140625000080 |
| Provider Name | Daniel N Ricotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245526839 PECOS PAC ID: 6901022557 Enrollment ID: I20140717001014 |
| Provider Name | Francis S Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376838227 PECOS PAC ID: 2264658269 Enrollment ID: I20140729000507 |
| Provider Name | Rajiv T Sivendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174818934 PECOS PAC ID: 0840417408 Enrollment ID: I20140806000581 |
| Provider Name | Daniel S. Kirshenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164714697 PECOS PAC ID: 1850523903 Enrollment ID: I20140807001919 |
| Provider Name | David J Lucier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467747121 PECOS PAC ID: 1153548557 Enrollment ID: I20140808000083 |
| Provider Name | Sherifat A Hinchey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093933509 PECOS PAC ID: 6103000492 Enrollment ID: I20140828000132 |
| Provider Name | Rajesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679893549 PECOS PAC ID: 1355560822 Enrollment ID: I20140915002305 |
| Provider Name | Alvina Sahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235417528 PECOS PAC ID: 2466673249 Enrollment ID: I20141020001541 |
| Provider Name | Joshua W Allen-dicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902127566 PECOS PAC ID: 2062646169 Enrollment ID: I20141030002248 |
| Provider Name | Samad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278270 PECOS PAC ID: 2961634522 Enrollment ID: I20141112001004 |
| Provider Name | Lopamudra Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144513763 PECOS PAC ID: 9032387493 Enrollment ID: I20141224000926 |
| Provider Name | Jatinder Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760772925 PECOS PAC ID: 1850538695 Enrollment ID: I20150105000266 |
| Provider Name | Jonathan D Eneman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710085071 PECOS PAC ID: 5799714994 Enrollment ID: I20150304001604 |
| Provider Name | George Dekki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295023273 PECOS PAC ID: 5496976649 Enrollment ID: I20150316000921 |
| Provider Name | Colleen M Kershaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508127499 PECOS PAC ID: 2769793058 Enrollment ID: I20150612000079 |
| Provider Name | Rohan Sen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770738593 PECOS PAC ID: 5092995993 Enrollment ID: I20150622000017 |
| Provider Name | Paul D Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376656421 PECOS PAC ID: 3971565201 Enrollment ID: I20150706000829 |
| Provider Name | Jazmine M Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114288008 PECOS PAC ID: 6709198740 Enrollment ID: I20150706001935 |
| Provider Name | Andrew Junkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457614737 PECOS PAC ID: 9739492224 Enrollment ID: I20150713001552 |
| Provider Name | Zahir Kanjee-khoja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346534500 PECOS PAC ID: 6800034026 Enrollment ID: I20150821013035 |
| Provider Name | Vladimir Kaplinskiy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104187962 PECOS PAC ID: 0143536961 Enrollment ID: I20150825002952 |
| Provider Name | Margaret C. Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811370620 PECOS PAC ID: 9032426002 Enrollment ID: I20150923002930 |
| Provider Name | Jimit A Pandya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790041846 PECOS PAC ID: 1759698723 Enrollment ID: I20150923002979 |
| Provider Name | Neal A Biddick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689940207 PECOS PAC ID: 5496063356 Enrollment ID: I20150928000408 |
| Provider Name | Chirin Al Dalati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003166885 PECOS PAC ID: 9638489867 Enrollment ID: I20151030000651 |
| Provider Name | Charbel M Abou Rjeily |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710175583 PECOS PAC ID: 9032235312 Enrollment ID: I20160317000520 |
| Provider Name | Meenakshi Kundi-sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528322245 PECOS PAC ID: 5193963106 Enrollment ID: I20160329001860 |
| Provider Name | Jennifer Wilson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871826644 PECOS PAC ID: 9638300494 Enrollment ID: I20160616002214 |
| Provider Name | Adam C Strauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306104377 PECOS PAC ID: 3173838638 Enrollment ID: I20160722001581 |
| Provider Name | Kirsten Courtade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437439023 PECOS PAC ID: 5092943050 Enrollment ID: I20160725000352 |
| Provider Name | Sunil S Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861831018 PECOS PAC ID: 7911291141 Enrollment ID: I20160810001196 |
| Provider Name | Adam Rodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649512872 PECOS PAC ID: 9436392701 Enrollment ID: I20160818001864 |
| Provider Name | Nicholas Csikesz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235367319 PECOS PAC ID: 8921226150 Enrollment ID: I20160818002524 |
| Provider Name | Chase R Parsons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609140490 PECOS PAC ID: 2567766694 Enrollment ID: I20160827000239 |
| Provider Name | Susan Mcgirr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427496959 PECOS PAC ID: 3577870237 Enrollment ID: I20160901000319 |
| Provider Name | Rebecca Zash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326214099 PECOS PAC ID: 2769778208 Enrollment ID: I20160908001912 |
| Provider Name | James G Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134495864 PECOS PAC ID: 2860700804 Enrollment ID: I20160909000022 |
| Provider Name | Nicholas Patchett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316280464 PECOS PAC ID: 9739311861 Enrollment ID: I20160909000265 |
| Provider Name | Jorge Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598102758 PECOS PAC ID: 8325277163 Enrollment ID: I20160919000324 |
| Provider Name | Grace Hsieh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639518376 PECOS PAC ID: 0244527711 Enrollment ID: I20160927001804 |
| Provider Name | Ashima Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437446614 PECOS PAC ID: 4284876657 Enrollment ID: I20161026002428 |
| Provider Name | Jazmin Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437598380 PECOS PAC ID: 3072891662 Enrollment ID: I20161102001934 |
| Provider Name | Elizabeth Targan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184921835 PECOS PAC ID: 5395054803 Enrollment ID: I20161110000251 |
| Provider Name | Monica Midha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124484597 PECOS PAC ID: 7113209826 Enrollment ID: I20170112001974 |
| Provider Name | Agnieszka Hordejuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912347089 PECOS PAC ID: 6507089018 Enrollment ID: I20170203001419 |
| Provider Name | Ahmad Usmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659705481 PECOS PAC ID: 8527342203 Enrollment ID: I20170223001945 |
| Provider Name | Babar Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467730168 PECOS PAC ID: 3870808116 Enrollment ID: I20170418000881 |
| Provider Name | Micah Eades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194144477 PECOS PAC ID: 0941587232 Enrollment ID: I20170516001398 |
| Provider Name | Mitchell Izower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396164570 PECOS PAC ID: 1355618356 Enrollment ID: I20170523001148 |
| Provider Name | Brett Simchowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225441272 PECOS PAC ID: 9133346182 Enrollment ID: I20170523001647 |
| Provider Name | Jonathan Y Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992117634 PECOS PAC ID: 3375760838 Enrollment ID: I20170530000440 |
| Provider Name | Emmanuel Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831502392 PECOS PAC ID: 0749597250 Enrollment ID: I20170602001718 |
| Provider Name | David M. Rubins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427461607 PECOS PAC ID: 7911125505 Enrollment ID: I20170605001997 |
| Provider Name | Ritika S Parris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811274772 PECOS PAC ID: 8224346200 Enrollment ID: I20170607002086 |
| Provider Name | Bassima J Abdallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912327305 PECOS PAC ID: 9436377306 Enrollment ID: I20170609000592 |
| Provider Name | Gregory Salber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508279688 PECOS PAC ID: 7517235849 Enrollment ID: I20170609001408 |
| Provider Name | Paige Szymanowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568876712 PECOS PAC ID: 6002184256 Enrollment ID: I20170613001162 |
| Provider Name | Dan Schwarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679848931 PECOS PAC ID: 3274771795 Enrollment ID: I20170616001584 |
| Provider Name | James Parris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407269905 PECOS PAC ID: 8426327818 Enrollment ID: I20170628000485 |
| Provider Name | Amanda Gayle Cooke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356755607 PECOS PAC ID: 4486963915 Enrollment ID: I20170629001599 |
| Provider Name | Matthew Adlestein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609295435 PECOS PAC ID: 7416255955 Enrollment ID: I20170712002723 |
| Provider Name | Samantha E Blank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245644384 PECOS PAC ID: 7416248166 Enrollment ID: I20170718002656 |
| Provider Name | Rahul B Ganatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265870281 PECOS PAC ID: 8628386265 Enrollment ID: I20170731000021 |
| Provider Name | Bethany Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760801765 PECOS PAC ID: 5890912646 Enrollment ID: I20170804003250 |
| Provider Name | Maria Nardell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992115430 PECOS PAC ID: 6901109818 Enrollment ID: I20170907000844 |
| Provider Name | Antonio Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548499270 PECOS PAC ID: 3971732827 Enrollment ID: I20170916000381 |
| Provider Name | Ramya Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699180570 PECOS PAC ID: 8820216476 Enrollment ID: I20170926002460 |
| Provider Name | Madhuri R Chandnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699172585 PECOS PAC ID: 8527333533 Enrollment ID: I20171002000461 |
| Provider Name | Kevin Winters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568872703 PECOS PAC ID: 7517186414 Enrollment ID: I20171016000091 |
| Provider Name | Uma K Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831519818 PECOS PAC ID: 5890061360 Enrollment ID: I20171027001896 |
| Provider Name | Olivia M Diamond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306251087 PECOS PAC ID: 7012297195 Enrollment ID: I20171127000661 |
| Provider Name | Ashley N Matskevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447677752 PECOS PAC ID: 6608199971 Enrollment ID: I20171127002167 |
| Provider Name | Siddhant Datta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255745006 PECOS PAC ID: 8820352586 Enrollment ID: I20180503002440 |
| Provider Name | Eric A Ardolino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780066399 PECOS PAC ID: 9830407402 Enrollment ID: I20180509001304 |
| Provider Name | Amanda E Klinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952781619 PECOS PAC ID: 6800104357 Enrollment ID: I20180516000477 |
| Provider Name | Maria Rosasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780065201 PECOS PAC ID: 2769790393 Enrollment ID: I20180604002290 |
| Provider Name | Gaurav Gharti-chhetri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386031540 PECOS PAC ID: 3870848021 Enrollment ID: I20180612002437 |
| Provider Name | Scott Navarrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043690795 PECOS PAC ID: 2668727629 Enrollment ID: I20180614001513 |
| Provider Name | Lesley Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851771927 PECOS PAC ID: 8921394743 Enrollment ID: I20180615000306 |
| Provider Name | Eric Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467847327 PECOS PAC ID: 5698088276 Enrollment ID: I20180618001971 |
| Provider Name | Saurav Luthra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962750620 PECOS PAC ID: 1759697584 Enrollment ID: I20180619001919 |
| Provider Name | Subarna Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558741116 PECOS PAC ID: 6507155181 Enrollment ID: I20180620002808 |
| Provider Name | Erin Truitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174903991 PECOS PAC ID: 6709194814 Enrollment ID: I20180702002343 |
| Provider Name | Fahed Darmoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609282490 PECOS PAC ID: 9032496815 Enrollment ID: I20180712001009 |
| Provider Name | Lan Luo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053603522 PECOS PAC ID: 9436466224 Enrollment ID: I20180716000174 |
| Provider Name | Justine I Blum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245626795 PECOS PAC ID: 1456671718 Enrollment ID: I20180716001270 |
| Provider Name | Elizabeth Ann Hall |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851634711 PECOS PAC ID: 7113220369 Enrollment ID: I20180719000979 |
| Provider Name | Mahmoud A Abu Hazeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518274638 PECOS PAC ID: 6406081298 Enrollment ID: I20180723000654 |
| Provider Name | Rajasekhar Tanikella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134478738 PECOS PAC ID: 8921321654 Enrollment ID: I20180723000727 |
| Provider Name | Rafi Skowronski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790047843 PECOS PAC ID: 7618115627 Enrollment ID: I20180723000962 |
| Provider Name | Xiao Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629465901 PECOS PAC ID: 2769730712 Enrollment ID: I20180807003254 |
| Provider Name | Sarah E Shannahan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528470143 PECOS PAC ID: 1951618024 Enrollment ID: I20180814001859 |
| Provider Name | Rahul Dnyaneshwar Pawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639434731 PECOS PAC ID: 8628386034 Enrollment ID: I20180815000430 |
| Provider Name | Donielle F Sliwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376809277 PECOS PAC ID: 9032343140 Enrollment ID: I20180904001390 |
| Provider Name | Arslan Talat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609254044 PECOS PAC ID: 5597054056 Enrollment ID: I20180906002054 |
| Provider Name | Thomas Ku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344086 PECOS PAC ID: 9335458496 Enrollment ID: I20180910001009 |
| Provider Name | Muhammad Mubarak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053707067 PECOS PAC ID: 9537475199 Enrollment ID: I20181129001713 |
| Provider Name | Bhavna Seth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140941 PECOS PAC ID: 2769797927 Enrollment ID: I20181208000370 |
| Provider Name | Brittne Alexis-kesha Halford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386083558 PECOS PAC ID: 4981833308 Enrollment ID: I20190109002945 |
| Provider Name | Sumit Pathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841514361 PECOS PAC ID: 2163669698 Enrollment ID: I20190114000179 |
| Provider Name | Nioke P Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255537288 PECOS PAC ID: 9739273046 Enrollment ID: I20190307003038 |
| Provider Name | Samer Abujaber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497137558 PECOS PAC ID: 7719267806 Enrollment ID: I20190320001589 |
| Provider Name | Muhammad Bangash |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245542901 PECOS PAC ID: 2163602905 Enrollment ID: I20190416001369 |
| Provider Name | Josephine Cool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922461375 PECOS PAC ID: 7315289667 Enrollment ID: I20190507001100 |
| Provider Name | Vishal Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023272960 PECOS PAC ID: 7810153103 Enrollment ID: I20190522000956 |
| Provider Name | Muthuraman Alagappan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255788907 PECOS PAC ID: 6002102282 Enrollment ID: I20190522003129 |
| Provider Name | Nadia Ali |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760791347 PECOS PAC ID: 3779701362 Enrollment ID: I20190603000788 |
| Provider Name | Rohit Rattan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598017097 PECOS PAC ID: 0547577082 Enrollment ID: I20190617001661 |
| Provider Name | Julia Cooperman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396195954 PECOS PAC ID: 5294020103 Enrollment ID: I20190618002166 |
| Provider Name | Shu Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588044259 PECOS PAC ID: 7315255809 Enrollment ID: I20190618002204 |
| Provider Name | Catherine M. Matthys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244656 PECOS PAC ID: 3779855499 Enrollment ID: I20190620000296 |
| Provider Name | Shana Teresa Rakowsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083096689 PECOS PAC ID: 5597072025 Enrollment ID: I20190628001134 |
| Provider Name | Ali Nujaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134516834 PECOS PAC ID: 3678807252 Enrollment ID: I20190702001219 |
| Provider Name | Bess Flashner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588044382 PECOS PAC ID: 1759699275 Enrollment ID: I20190702003165 |
| Provider Name | Toyiba H Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104139138 PECOS PAC ID: 4880811215 Enrollment ID: I20190703002459 |
| Provider Name | Andrew Lyu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568825552 PECOS PAC ID: 3274868906 Enrollment ID: I20190717001372 |
| Provider Name | Frank Chi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366891988 PECOS PAC ID: 4587959390 Enrollment ID: I20190718000465 |
| Provider Name | Vladimir Mushailov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255780870 PECOS PAC ID: 8628364569 Enrollment ID: I20190718002585 |
| Provider Name | Kayla Shirley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689028771 PECOS PAC ID: 9133455165 Enrollment ID: I20190729000895 |
| Provider Name | Aditya Mohanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659725224 PECOS PAC ID: 5991059263 Enrollment ID: I20190730001410 |
| Provider Name | Jason Shpilsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730560061 PECOS PAC ID: 0446555064 Enrollment ID: I20190730002539 |
| Provider Name | Brian Kumar Persaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467831107 PECOS PAC ID: 2365757242 Enrollment ID: I20190730003698 |
| Provider Name | Mitchell W Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790134385 PECOS PAC ID: 1951696863 Enrollment ID: I20190730003968 |
| Provider Name | Ari Kriegel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801243613 PECOS PAC ID: 3678868858 Enrollment ID: I20190730004072 |
| Provider Name | Patrick Field |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208996 PECOS PAC ID: 2466747910 Enrollment ID: I20190806001263 |
| Provider Name | Albana Bufi Mihali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144682287 PECOS PAC ID: 3274860374 Enrollment ID: I20190813000983 |
| Provider Name | Vikas Taneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851606966 PECOS PAC ID: 2365682234 Enrollment ID: I20190823000836 |
| Provider Name | Anish Geevarghese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093151656 PECOS PAC ID: 2961731567 Enrollment ID: I20190906002419 |
| Provider Name | Jayanthi Sethunarayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790239689 PECOS PAC ID: 1658617121 Enrollment ID: I20190910001578 |
| Provider Name | Ruchika Sangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124480710 PECOS PAC ID: 4284929720 Enrollment ID: I20190913002835 |
| Provider Name | Raza Alvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508100637 PECOS PAC ID: 3476883240 Enrollment ID: I20190920000259 |
| Provider Name | Manasa Mullapudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893604 PECOS PAC ID: 3173853967 Enrollment ID: I20190920001055 |
| Provider Name | Jennifer Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235588096 PECOS PAC ID: 2860770278 Enrollment ID: I20190923001935 |
| Provider Name | Tanikka Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871948422 PECOS PAC ID: 8820328511 Enrollment ID: I20190923002633 |
| Provider Name | Peter Zhao Yan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649546367 PECOS PAC ID: 0749528081 Enrollment ID: I20190927001335 |
| Provider Name | Zahraa Hasan Abd Ali Rabeeah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720531692 PECOS PAC ID: 6002147865 Enrollment ID: I20191008003779 |
| Provider Name | Joongheum Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649686197 PECOS PAC ID: 0143567164 Enrollment ID: I20191030003565 |
| Provider Name | Ashley E. D. Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700264199 PECOS PAC ID: 8325382492 Enrollment ID: I20191107002913 |
| Provider Name | Soujanya Thummathati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134574981 PECOS PAC ID: 6507292950 Enrollment ID: I20200204001355 |
| Provider Name | Jennifer Maccarone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588195234 PECOS PAC ID: 1153692496 Enrollment ID: I20200210002096 |
| Provider Name | Zachary N Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205369527 PECOS PAC ID: 2860762713 Enrollment ID: I20200820001532 |
| Provider Name | Seema Amin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477890754 PECOS PAC ID: 3577707298 Enrollment ID: I20200824002602 |
| Provider Name | Ryan Emerson Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477948149 PECOS PAC ID: 9931495959 Enrollment ID: I20200826001634 |
| Provider Name | Patrick Cheney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750816922 PECOS PAC ID: 6406273747 Enrollment ID: I20200901000901 |
| Provider Name | Staci Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043680713 PECOS PAC ID: 6709158967 Enrollment ID: I20200910002999 |
| Provider Name | Evan P Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306295753 PECOS PAC ID: 8820332844 Enrollment ID: I20200911000671 |
| Provider Name | Katherine E Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891229829 PECOS PAC ID: 8325310287 Enrollment ID: I20200915000752 |
| Provider Name | Rahul Gore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689102220 PECOS PAC ID: 3274805304 Enrollment ID: I20200917000752 |
| Provider Name | Chun Hin Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861922999 PECOS PAC ID: 5890069520 Enrollment ID: I20201006001899 |
| Provider Name | Jacob Koshy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013448372 PECOS PAC ID: 0042630170 Enrollment ID: I20201012001526 |
| Provider Name | Hongchuan Coville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295268902 PECOS PAC ID: 9234559212 Enrollment ID: I20201013000867 |
| Provider Name | Guyu Du |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063941524 PECOS PAC ID: 3072882489 Enrollment ID: I20201016001069 |
| Provider Name | Stephen A Mein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083142798 PECOS PAC ID: 1951673847 Enrollment ID: I20201019002267 |
| Provider Name | Susan Mcilvaine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770932386 PECOS PAC ID: 0648565580 Enrollment ID: I20201019002691 |
| Provider Name | Kantha Medepalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770901175 PECOS PAC ID: 5698992105 Enrollment ID: I20201020002453 |
| Provider Name | Vijai Bhola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073742409 PECOS PAC ID: 4789908526 Enrollment ID: I20201026000092 |
| Provider Name | Martin Kaminski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801245444 PECOS PAC ID: 9739476730 Enrollment ID: I20201030000752 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861621682 PECOS PAC ID: 0244480168 Enrollment ID: I20201112000341 |
| Provider Name | Alison Trainor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912356007 PECOS PAC ID: 2264728690 Enrollment ID: I20201112003007 |
| Provider Name | Shreya P. Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134500572 PECOS PAC ID: 2062768898 Enrollment ID: I20201113000426 |
| Provider Name | Ayesha Moghul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215390133 PECOS PAC ID: 5597046326 Enrollment ID: I20201119000152 |
| Provider Name | Nicholas Villano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356872907 PECOS PAC ID: 7911249156 Enrollment ID: I20201119002570 |
| Provider Name | Peter Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003173592 PECOS PAC ID: 1557597176 Enrollment ID: I20201130002622 |
| Provider Name | Hollis Andrea Viray |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902254188 PECOS PAC ID: 3274829049 Enrollment ID: I20201218000877 |
| Provider Name | Vinay B Kadiyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467984385 PECOS PAC ID: 3072858000 Enrollment ID: I20210108000535 |
| Provider Name | Elizabeth R. Donnelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558891234 PECOS PAC ID: 3173894821 Enrollment ID: I20210126002378 |
| Provider Name | Meghan J Hession |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255934147 PECOS PAC ID: 2365857596 Enrollment ID: I20210219001472 |
| Provider Name | Courtney A Townshend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437687944 PECOS PAC ID: 5294007233 Enrollment ID: I20210305001763 |
| Provider Name | Zachary H Taxin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811350291 PECOS PAC ID: 3072856087 Enrollment ID: I20210603000222 |
| Provider Name | Timeam Saidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497251177 PECOS PAC ID: 3173851383 Enrollment ID: I20210604000086 |
| Provider Name | Mark C Dunlop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336633072 PECOS PAC ID: 1759639032 Enrollment ID: I20210615000286 |
| Provider Name | Matthew J Cozzolino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124522107 PECOS PAC ID: 7810246154 Enrollment ID: I20210615001158 |
| Provider Name | Marcia A Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730684648 PECOS PAC ID: 9739517491 Enrollment ID: I20210615001472 |
| Provider Name | Benjamin L Freedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689168312 PECOS PAC ID: 6608124037 Enrollment ID: I20210615001486 |
| Provider Name | Shantum Misra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851898670 PECOS PAC ID: 2365799699 Enrollment ID: I20210615001782 |
| Provider Name | Diana Cg Bouhassira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477047132 PECOS PAC ID: 3678821030 Enrollment ID: I20210616002363 |
| Provider Name | Rachel Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108486 PECOS PAC ID: 5890046809 Enrollment ID: I20210617001345 |
| Provider Name | Cara Sweeney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952788739 PECOS PAC ID: 4880929314 Enrollment ID: I20210617001770 |
| Provider Name | Andrew Nashed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215433669 PECOS PAC ID: 6406108216 Enrollment ID: I20210617002990 |
| Provider Name | Mahathi Komaragiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053716449 PECOS PAC ID: 3476860305 Enrollment ID: I20210621002419 |
| Provider Name | Soonwook Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295225662 PECOS PAC ID: 9537407010 Enrollment ID: I20210625002036 |
| Provider Name | Nizar Salem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346546785 PECOS PAC ID: 8123298031 Enrollment ID: I20210708000235 |
| Provider Name | Shinn Te Chou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811491467 PECOS PAC ID: 5395091037 Enrollment ID: I20210713002618 |
| Provider Name | Darin T Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386138048 PECOS PAC ID: 6406104058 Enrollment ID: I20210715001417 |
| Provider Name | Nisa S Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013411313 PECOS PAC ID: 3173870987 Enrollment ID: I20210716000060 |
| Provider Name | Shaunak Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790289031 PECOS PAC ID: 9436552023 Enrollment ID: I20210720001503 |
| Provider Name | Joby Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073045456 PECOS PAC ID: 4880097484 Enrollment ID: I20210720002057 |
| Provider Name | Pu Fang Hung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376047720 PECOS PAC ID: 0547590283 Enrollment ID: I20210723003126 |
| Provider Name | Koushik Kasanagottu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033601844 PECOS PAC ID: 6709135783 Enrollment ID: I20210803001390 |
| Provider Name | Bulbul Cibei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609129634 PECOS PAC ID: 8022230978 Enrollment ID: I20210805002943 |
| Provider Name | Muhammad Haseeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528441771 PECOS PAC ID: 1254686165 Enrollment ID: I20210810003752 |
| Provider Name | Byron D Crowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366973703 PECOS PAC ID: 3971877036 Enrollment ID: I20210811003527 |
| Provider Name | Khaled Alabdallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356832893 PECOS PAC ID: 6204231145 Enrollment ID: I20210816002938 |
| Provider Name | Leyla Herisinazhad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225521974 PECOS PAC ID: 4981009685 Enrollment ID: I20210818002277 |
| Provider Name | Alexander Wester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760976930 PECOS PAC ID: 5294081204 Enrollment ID: I20210824002085 |
| Provider Name | Jerry S Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336644178 PECOS PAC ID: 7911319843 Enrollment ID: I20210909000958 |
| Provider Name | Kesha A Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619468584 PECOS PAC ID: 5496151896 Enrollment ID: I20210910000461 |
| Provider Name | Nadir Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821578451 PECOS PAC ID: 1759788391 Enrollment ID: I20210923001884 |
| Provider Name | Wilfor Jhonathan Diaz Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134611817 PECOS PAC ID: 7618226705 Enrollment ID: I20210924001603 |
| Provider Name | Samir Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871070433 PECOS PAC ID: 0749687283 Enrollment ID: I20210924002917 |
| Provider Name | Dariush Jahandideh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790282978 PECOS PAC ID: 6709296668 Enrollment ID: I20210927000209 |
| Provider Name | Ahmad H Ammous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083119549 PECOS PAC ID: 3476898099 Enrollment ID: I20210927000989 |
| Provider Name | Nona M Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497245880 PECOS PAC ID: 0840543583 Enrollment ID: I20210930001530 |
| Provider Name | John M Gaudet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326543414 PECOS PAC ID: 0345596458 Enrollment ID: I20211005000256 |
| Provider Name | Matthew Lewis Chase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437562899 PECOS PAC ID: 0244456044 Enrollment ID: I20211117002039 |
| Provider Name | Amitasha Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629482591 PECOS PAC ID: 2264659697 Enrollment ID: I20211122001690 |
| Provider Name | Sayeedul Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609252394 PECOS PAC ID: 9234435702 Enrollment ID: I20220110001310 |
| Provider Name | Austin G Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699216846 PECOS PAC ID: 2860764636 Enrollment ID: I20220127000252 |
| Provider Name | Vishal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306224514 PECOS PAC ID: 9436408531 Enrollment ID: I20220516000549 |
| Provider Name | Brandon R Hayse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689239543 PECOS PAC ID: 3577897354 Enrollment ID: I20220613002436 |
| Provider Name | Michael Mankbadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326603085 PECOS PAC ID: 7719211549 Enrollment ID: I20220614001262 |
| Provider Name | Shane Warnock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174181515 PECOS PAC ID: 9537495403 Enrollment ID: I20220615000245 |
| Provider Name | Bilal A Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831741024 PECOS PAC ID: 4082011416 Enrollment ID: I20220615000857 |
| Provider Name | Miguel S Montana Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225598337 PECOS PAC ID: 8123352911 Enrollment ID: I20220615002688 |
| Provider Name | Sarah E Ohnigian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306406194 PECOS PAC ID: 7416283320 Enrollment ID: I20220617001672 |
| Provider Name | Jennifer E Bayly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043770753 PECOS PAC ID: 8628304045 Enrollment ID: I20220620000785 |
| Provider Name | Prerana Bhattacharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609432020 PECOS PAC ID: 7810224524 Enrollment ID: I20220621000388 |
| Provider Name | Marzio Napolitano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770144859 PECOS PAC ID: 6608255708 Enrollment ID: I20220621001145 |
| Provider Name | Hans Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639675648 PECOS PAC ID: 8729317102 Enrollment ID: I20220621001448 |
| Provider Name | Dineth M Bandarage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518427657 PECOS PAC ID: 8325373574 Enrollment ID: I20220625000126 |
| Provider Name | Osman A Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760040976 PECOS PAC ID: 9335475144 Enrollment ID: I20220625000317 |
| Provider Name | Nika Sulakvelidze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659831295 PECOS PAC ID: 2062746894 Enrollment ID: I20220706000974 |
| Provider Name | Xixi Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811458722 PECOS PAC ID: 2466786298 Enrollment ID: I20220706000993 |
| Provider Name | Tareq Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275773079 PECOS PAC ID: 4688808967 Enrollment ID: I20220706002681 |
| Provider Name | Rekha Ravikumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538722665 PECOS PAC ID: 5890175582 Enrollment ID: I20220712002821 |
| Provider Name | Thomas Michael Kalinoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881128957 PECOS PAC ID: 7810319910 Enrollment ID: I20220714001359 |
| Provider Name | Erin Nuzzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235577909 PECOS PAC ID: 5991014524 Enrollment ID: I20220721002647 |
| Provider Name | Kelsey E O'leary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114585114 PECOS PAC ID: 9638405418 Enrollment ID: I20220721003724 |
| Provider Name | Tommy G Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558866566 PECOS PAC ID: 0840548327 Enrollment ID: I20220804002034 |
| Provider Name | Venkata Kiranmayi Kakumani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326690926 PECOS PAC ID: 1456734037 Enrollment ID: I20220815001032 |
| Provider Name | Meredith Ann Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245897065 PECOS PAC ID: 8729319462 Enrollment ID: I20220822001636 |
| Provider Name | Alina A Barmanwalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336636695 PECOS PAC ID: 7618351503 Enrollment ID: I20220825003516 |
| Provider Name | Baigalmaa Enkhtaivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043637176 PECOS PAC ID: 8527324029 Enrollment ID: I20220829002735 |
| Provider Name | Christina Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174188874 PECOS PAC ID: 3173850419 Enrollment ID: I20220907003581 |
| Provider Name | Khadijah Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619467065 PECOS PAC ID: 7416202221 Enrollment ID: I20220920000176 |
| Provider Name | Vaibhav Birda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346809506 PECOS PAC ID: 6901132869 Enrollment ID: I20220928000758 |
| Provider Name | Roopa Balachandar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750841078 PECOS PAC ID: 7719211556 Enrollment ID: I20220929001705 |
| Provider Name | Javaria Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528446119 PECOS PAC ID: 3375846025 Enrollment ID: I20221003002986 |
| Provider Name | Shehryar Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932634540 PECOS PAC ID: 3072881325 Enrollment ID: I20221201000209 |
| Provider Name | Ian Gallegos Dargon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281688 PECOS PAC ID: 9638402944 Enrollment ID: I20230126000140 |
| Provider Name | Myriam L Taibi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255969820 PECOS PAC ID: 5991124729 Enrollment ID: I20230320002210 |
| Provider Name | William B Earle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790308674 PECOS PAC ID: 1355768052 Enrollment ID: I20230321002526 |
| Provider Name | Brendan Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780113571 PECOS PAC ID: 6901177559 Enrollment ID: I20230407001222 |
| Provider Name | Petal L Elder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558923763 PECOS PAC ID: 2961738430 Enrollment ID: I20230417000690 |
| Provider Name | Nicole Kaitlin Giddens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952939787 PECOS PAC ID: 4284023490 Enrollment ID: I20230418002270 |
| Provider Name | Lixia Deng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447888730 PECOS PAC ID: 0941604375 Enrollment ID: I20230419002169 |
| Provider Name | Laura C Mcnamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386202646 PECOS PAC ID: 7214263177 Enrollment ID: I20230420002628 |
| Provider Name | Raymund Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215482682 PECOS PAC ID: 7911233721 Enrollment ID: I20230420002911 |
| Provider Name | Benjamin A Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164045175 PECOS PAC ID: 8123445855 Enrollment ID: I20230425001543 |
| Provider Name | Brian M Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659938967 PECOS PAC ID: 8123354123 Enrollment ID: I20230509001010 |
| Provider Name | Misha Fotoohi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790314433 PECOS PAC ID: 1456757467 Enrollment ID: I20230524001113 |
| Provider Name | Hirrah Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891322442 PECOS PAC ID: 9032532882 Enrollment ID: I20230530001037 |
| Provider Name | Kiera E Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841817764 PECOS PAC ID: 0840688040 Enrollment ID: I20230530001129 |
| Provider Name | Noah Austin Minor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467071019 PECOS PAC ID: 3173946654 Enrollment ID: I20230605003267 |
| Provider Name | Saifullah Muhammad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871120428 PECOS PAC ID: 4385066992 Enrollment ID: I20230616000098 |
| Provider Name | Emily Sue Fiore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447879796 PECOS PAC ID: 9436517240 Enrollment ID: I20230626002179 |
| Provider Name | Sara M Cahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003439944 PECOS PAC ID: 8921428913 Enrollment ID: I20230628000944 |
| Provider Name | Omkar U Vaidya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518117670 PECOS PAC ID: 0547483083 Enrollment ID: I20230629002383 |
| Provider Name | Jay Praduman Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902429178 PECOS PAC ID: 0840659033 Enrollment ID: I20230706001811 |
| Provider Name | Mehmet Esat Demirhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619504719 PECOS PAC ID: 0941661862 Enrollment ID: I20230725002456 |
| Provider Name | John R Barber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437716438 PECOS PAC ID: 7315273489 Enrollment ID: I20230725002884 |
| Provider Name | Bonnie Cao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801357397 PECOS PAC ID: 5294061453 Enrollment ID: I20230727000942 |
| Provider Name | Vishwanath T Anekonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790312379 PECOS PAC ID: 6709207657 Enrollment ID: I20230727001214 |
| Provider Name | Alana I Ganz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629692371 PECOS PAC ID: 3971921636 Enrollment ID: I20230727001263 |
| Provider Name | Shruti Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558980128 PECOS PAC ID: 0244694289 Enrollment ID: I20230911000994 |
| Provider Name | Benjamin Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942820501 PECOS PAC ID: 6002247426 Enrollment ID: I20230911001722 |
| Provider Name | Punith Reddy Thogaripally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447889001 PECOS PAC ID: 8325402290 Enrollment ID: I20230911002410 |
| Provider Name | Sara Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407302235 PECOS PAC ID: 2466717566 Enrollment ID: I20231106000993 |
| Provider Name | Mary Stacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841976511 PECOS PAC ID: 6608229505 Enrollment ID: I20240126002892 |
| Provider Name | David Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558852822 PECOS PAC ID: 4587913298 Enrollment ID: I20240129001046 |
| Provider Name | Arun Nachiappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023512811 PECOS PAC ID: 0840534996 Enrollment ID: I20240229000146 |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Fenway Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-927-4880 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Barbara Mcinnis House Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |