Shantanu Srinivasan Kidambi, MD | |
55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655-0002 | |
(508) 334-3271 | |
(508) 856-5911 |
Full Name | Shantanu Srinivasan Kidambi |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356494405 | NPI | - | NPPES |
110084186A | Medicaid | MA |
Facility Name | Location | Facility Type |
---|---|---|
North Shore Medical Center - | Salem, MA | Hospital |
Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts General Physicians Organization Inc | 2466365820 | 3084 |
Precision Anesthesia Associates Pc | 3173872439 | 12 |
Mass General Brigham Medical Group, Inc. | 3971987108 | 87 |
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Entity Name | Precision Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841781820 PECOS PAC ID: 3173872439 Enrollment ID: O20180820001476 |
Entity Name | Mass General Brigham Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20230925000368 |
Mailing Address | Practice Location Address |
---|---|
Shantanu Srinivasan Kidambi, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Shantanu Srinivasan Kidambi, MD 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655-0002 Ph: (508) 334-3271 |
Layla Fakhrzadeh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911 | |
Yoonyie Cho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Ashley E Gabrielsen, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Dr. Ayotunde Fadayomi, MBBS, MPH Anesthesiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Dr. Sergio Zendejas, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 Fax: 508-334-8235 | |
Antranig Kalaydjian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St Ste 370, Worcester, MA 01608 Phone: 508-964-5580 Fax: 508-368-3143 | |
James Savage Iv, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 |