| Hni Medical Services | |
|
7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 | |
| (512) 730-3060 | |
| (888) 730-1925 |
| Full Name | Hni Medical Services |
|---|---|
| Speciality | Hospitalist |
| Location | 7500 Rialto Blvd Ste 1-140, Austin, Texas |
| Authorized Official Name and Position | Scott Klosterman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5127303056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hni Medical Services 7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 Ph: (512) 730-3060 | Hni Medical Services 7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 Ph: (512) 730-3060 |
| NPI Number | 1366735169 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6406028810 |
|---|---|
| Medicare Enrollment ID | O20111007000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366735169 | NPI | - | NPPES |
| 004430600 | Medicaid | FL | |
| 306648201 | Medicaid | TX | |
| 2386395 | Medicaid | LA |
| Provider Name | Amber L Isley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952386724 PECOS PAC ID: 8325935927 Enrollment ID: I20040228000481 |
| Provider Name | Socrates Perez-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215911011 PECOS PAC ID: 9638060049 Enrollment ID: I20040324000394 |
| Provider Name | Riaz Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20040511000362 |
| Provider Name | Syed Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790895035 PECOS PAC ID: 1153234208 Enrollment ID: I20040524000744 |
| Provider Name | Monica Joset Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467432351 PECOS PAC ID: 8022090968 Enrollment ID: I20040603001018 |
| Provider Name | Binh Quoc Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023020856 PECOS PAC ID: 6305822784 Enrollment ID: I20040626000050 |
| Provider Name | Harjot S Kahlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629182381 PECOS PAC ID: 4880660125 Enrollment ID: I20040908000442 |
| Provider Name | Dastagir Alam Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205818911 PECOS PAC ID: 5294704920 Enrollment ID: I20040929001018 |
| Provider Name | Hilbert C Zeballos Evangelista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700807526 PECOS PAC ID: 8729985825 Enrollment ID: I20041101000662 |
| Provider Name | Dwight G Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689673139 PECOS PAC ID: 5092778613 Enrollment ID: I20041104001109 |
| Provider Name | Shashi Chetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417980434 PECOS PAC ID: 9436121456 Enrollment ID: I20041203000198 |
| Provider Name | Susan M Strickland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760430904 PECOS PAC ID: 1052378478 Enrollment ID: I20041216000597 |
| Provider Name | Jerilee Emma Lomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093889529 PECOS PAC ID: 9032176565 Enrollment ID: I20041216000608 |
| Provider Name | Muhammed Mustafa Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356326995 PECOS PAC ID: 2769434539 Enrollment ID: I20050221000343 |
| Provider Name | Robert D Mehrberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659334050 PECOS PAC ID: 6800841156 Enrollment ID: I20050318000732 |
| Provider Name | Nagamanikkam Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585521 PECOS PAC ID: 6305892274 Enrollment ID: I20050323001047 |
| Provider Name | Adekunle Sunday Ogunfuwa |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1669541512 PECOS PAC ID: 1951358027 Enrollment ID: I20050405000025 |
| Provider Name | Mohamed Elsayed Ahmed Shaalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235103912 PECOS PAC ID: 8426020371 Enrollment ID: I20050824000145 |
| Provider Name | Mario Catipay Trance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922112879 PECOS PAC ID: 7012941982 Enrollment ID: I20050920001088 |
| Provider Name | Roberto C Jo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629042403 PECOS PAC ID: 2365476090 Enrollment ID: I20050922000495 |
| Provider Name | Simarpreet K Talwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316952252 PECOS PAC ID: 1153355599 Enrollment ID: I20050924000018 |
| Provider Name | Asad Ayub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033182761 PECOS PAC ID: 9830114958 Enrollment ID: I20051007000630 |
| Provider Name | Nicole Zaffino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336167253 PECOS PAC ID: 2860418225 Enrollment ID: I20051015000038 |
| Provider Name | Julia Cosma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194711515 PECOS PAC ID: 0749207991 Enrollment ID: I20051027000762 |
| Provider Name | Dmitriy G Chatskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972556686 PECOS PAC ID: 2961448378 Enrollment ID: I20051114000724 |
| Provider Name | Elizabeth A Eads |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548294481 PECOS PAC ID: 1052329059 Enrollment ID: I20060403000471 |
| Provider Name | Jeffrey A True |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437148574 PECOS PAC ID: 9830100692 Enrollment ID: I20060509000376 |
| Provider Name | Amalia V Gozum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215941539 PECOS PAC ID: 5294731394 Enrollment ID: I20061012000570 |
| Provider Name | Jesus A Diaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326009515 PECOS PAC ID: 7416954144 Enrollment ID: I20061023000187 |
| Provider Name | Sheryl M Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417901125 PECOS PAC ID: 4082611165 Enrollment ID: I20061102000379 |
| Provider Name | Stefanie A Colavito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548282916 PECOS PAC ID: 1355393034 Enrollment ID: I20061204000337 |
| Provider Name | Gustavo Adolfo Jurado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356441661 PECOS PAC ID: 5294734992 Enrollment ID: I20061206000431 |
| Provider Name | Khalid Sabha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902911068 PECOS PAC ID: 2668575325 Enrollment ID: I20070317000016 |
| Provider Name | Kelly W Segars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477677276 PECOS PAC ID: 3971608886 Enrollment ID: I20070423000229 |
| Provider Name | Ryan Leigh Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134153018 PECOS PAC ID: 5698871630 Enrollment ID: I20070508000186 |
| Provider Name | Shaheen Faruque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386744639 PECOS PAC ID: 2264422989 Enrollment ID: I20070625000690 |
| Provider Name | Theresa N Huyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760675599 PECOS PAC ID: 2466548227 Enrollment ID: I20071010000298 |
| Provider Name | Angelina D Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104029107 PECOS PAC ID: 0143316604 Enrollment ID: I20071012000670 |
| Provider Name | Ravi P Pothireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578755476 PECOS PAC ID: 7416046826 Enrollment ID: I20071208000096 |
| Provider Name | Courtney S Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316916265 PECOS PAC ID: 4486670486 Enrollment ID: I20071215000156 |
| Provider Name | Kasra A Nabizadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457370306 PECOS PAC ID: 3577554047 Enrollment ID: I20080117000212 |
| Provider Name | William S Gruss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306982491 PECOS PAC ID: 5698852234 Enrollment ID: I20080408000131 |
| Provider Name | Elizabeth Wonpat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952503369 PECOS PAC ID: 5698875698 Enrollment ID: I20080819000195 |
| Provider Name | Ralph Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891990685 PECOS PAC ID: 4486742558 Enrollment ID: I20080827000489 |
| Provider Name | Viral N Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331176 PECOS PAC ID: 6002975729 Enrollment ID: I20081110000281 |
| Provider Name | Aktar Dean Jaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568629897 PECOS PAC ID: 7618037029 Enrollment ID: I20081114000543 |
| Provider Name | Jacquelyn Danette Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558536490 PECOS PAC ID: 4587724307 Enrollment ID: I20081124000096 |
| Provider Name | Jean Rony Rony Jean Mary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346317088 PECOS PAC ID: 5193815488 Enrollment ID: I20090107000623 |
| Provider Name | Aiham Al Ashhab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548433949 PECOS PAC ID: 0042374001 Enrollment ID: I20090205000598 |
| Provider Name | William Richard Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073569141 PECOS PAC ID: 4082670740 Enrollment ID: I20090224000380 |
| Provider Name | Mallikarjuna R Kamireddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699797472 PECOS PAC ID: 1850457383 Enrollment ID: I20090306000368 |
| Provider Name | Tana S Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992953863 PECOS PAC ID: 1557427986 Enrollment ID: I20090310000072 |
| Provider Name | Jantzen S Fowler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942455167 PECOS PAC ID: 3870646664 Enrollment ID: I20090727000323 |
| Provider Name | Min Kyung Zimilevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750529525 PECOS PAC ID: 5193879104 Enrollment ID: I20090810000553 |
| Provider Name | Gregory Romaniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144246729 PECOS PAC ID: 9335293265 Enrollment ID: I20090812000338 |
| Provider Name | Christopher J Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346326980 PECOS PAC ID: 1850374034 Enrollment ID: I20090812000486 |
| Provider Name | Alexander Zimilevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811156680 PECOS PAC ID: 2668527987 Enrollment ID: I20090909000634 |
| Provider Name | Kandi A Kinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578795365 PECOS PAC ID: 7214074970 Enrollment ID: I20091028000839 |
| Provider Name | Tifinni Marie Romero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497950794 PECOS PAC ID: 9032257332 Enrollment ID: I20091106000158 |
| Provider Name | Robert Antoine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245249218 PECOS PAC ID: 9133189871 Enrollment ID: I20100113000519 |
| Provider Name | Zaheer Aslam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609950468 PECOS PAC ID: 2961305297 Enrollment ID: I20100414000813 |
| Provider Name | Gasim Elshazali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922128339 PECOS PAC ID: 3274661889 Enrollment ID: I20100430000741 |
| Provider Name | Shapour Steve Mirmanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407375 PECOS PAC ID: 4789661802 Enrollment ID: I20100512001008 |
| Provider Name | Rania Abdel-rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013059211 PECOS PAC ID: 9830280478 Enrollment ID: I20100913000832 |
| Provider Name | Fadi R Chalhoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568451557 PECOS PAC ID: 8527183474 Enrollment ID: I20100915000489 |
| Provider Name | Edward Jack Yazigi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285835868 PECOS PAC ID: 7517159403 Enrollment ID: I20101011000741 |
| Provider Name | Robert E Ebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962436857 PECOS PAC ID: 2466596150 Enrollment ID: I20101108000913 |
| Provider Name | Deqing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048622 PECOS PAC ID: 4486849049 Enrollment ID: I20101109001431 |
| Provider Name | Miriam E Abreu- Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740472695 PECOS PAC ID: 8921294075 Enrollment ID: I20101201000390 |
| Provider Name | Vikti A Gosalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952537680 PECOS PAC ID: 2567518962 Enrollment ID: I20101213000282 |
| Provider Name | Catherine Clorice Paradiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790089035 PECOS PAC ID: 7911181169 Enrollment ID: I20110412000772 |
| Provider Name | Murshid A Al-awady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719702 PECOS PAC ID: 2365471059 Enrollment ID: I20110623000345 |
| Provider Name | Justin R Federico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538327952 PECOS PAC ID: 0840478475 Enrollment ID: I20110629000404 |
| Provider Name | Mihir R Faldu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033371273 PECOS PAC ID: 5799953998 Enrollment ID: I20110713000754 |
| Provider Name | Abdul Rasheed Asharaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841224169 PECOS PAC ID: 2163429267 Enrollment ID: I20110803000602 |
| Provider Name | Anurag S Kushawaha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891930749 PECOS PAC ID: 1153450705 Enrollment ID: I20110817000493 |
| Provider Name | Caitlin G Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689994865 PECOS PAC ID: 0840460341 Enrollment ID: I20110818000686 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20110825000393 |
| Provider Name | John Randall Finch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740249028 PECOS PAC ID: 6507832367 Enrollment ID: I20110830000666 |
| Provider Name | Mohammad Shehadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639223688 PECOS PAC ID: 9638259039 Enrollment ID: I20111005000446 |
| Provider Name | Zelia Yanique Archibald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023279098 PECOS PAC ID: 6608049408 Enrollment ID: I20111021000434 |
| Provider Name | Jennifer M Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932226305 PECOS PAC ID: 3476658725 Enrollment ID: I20111026000690 |
| Provider Name | Suzanne Bell Brulte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619918042 PECOS PAC ID: 3870766215 Enrollment ID: I20111101000284 |
| Provider Name | Jonatan D. Valdez Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336111533 PECOS PAC ID: 5890730816 Enrollment ID: I20111215000282 |
| Provider Name | Raghava R Vadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285932079 PECOS PAC ID: 2860669470 Enrollment ID: I20120123000769 |
| Provider Name | Juan D Pulido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336293620 PECOS PAC ID: 4183884364 Enrollment ID: I20120326000455 |
| Provider Name | Chinenye Ezedike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437319159 PECOS PAC ID: 1658533476 Enrollment ID: I20120424000221 |
| Provider Name | Anugya Poudel Chataut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215244108 PECOS PAC ID: 7618131475 Enrollment ID: I20120607000591 |
| Provider Name | Bushra Akhter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902023716 PECOS PAC ID: 6901992312 Enrollment ID: I20120613000224 |
| Provider Name | Sayed Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366516486 PECOS PAC ID: 4981632916 Enrollment ID: I20120615000301 |
| Provider Name | Reuben K Maggard |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558572065 PECOS PAC ID: 2961549886 Enrollment ID: I20120913000703 |
| Provider Name | Hammam Ghiyas Kemeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912137639 PECOS PAC ID: 5597914036 Enrollment ID: I20120927000337 |
| Provider Name | Junaid Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376830109 PECOS PAC ID: 1759530934 Enrollment ID: I20121003000438 |
| Provider Name | Kelvin James Wiley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194810481 PECOS PAC ID: 3971604638 Enrollment ID: I20121011000564 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20121012000506 |
| Provider Name | Sandra L Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437406063 PECOS PAC ID: 3678723145 Enrollment ID: I20121017000870 |
| Provider Name | Mizyl Frances Damayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518057264 PECOS PAC ID: 3072614452 Enrollment ID: I20121113000270 |
| Provider Name | Shilpa Goli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306084306 PECOS PAC ID: 4789730540 Enrollment ID: I20121219000243 |
| Provider Name | Alejandro Blanco-franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699905208 PECOS PAC ID: 9830341833 Enrollment ID: I20121219000430 |
| Provider Name | Rachael Sanchez |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1790915064 PECOS PAC ID: 6608028634 Enrollment ID: I20121220000127 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20130123000057 |
| Provider Name | Kenson Lacossiere |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255576286 PECOS PAC ID: 6507902053 Enrollment ID: I20130131000436 |
| Provider Name | Jeremy G Remus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467401794 PECOS PAC ID: 9537193602 Enrollment ID: I20130206000180 |
| Provider Name | Munish Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851328363 PECOS PAC ID: 3971509464 Enrollment ID: I20130218000171 |
| Provider Name | Roberto Rubio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093743296 PECOS PAC ID: 0345223004 Enrollment ID: I20130314000410 |
| Provider Name | Perry D Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861741795 PECOS PAC ID: 2466698741 Enrollment ID: I20130410000476 |
| Provider Name | Reuben Tovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174567705 PECOS PAC ID: 3577653534 Enrollment ID: I20130501000475 |
| Provider Name | Alice Katherine Lovell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033451026 PECOS PAC ID: 2062659436 Enrollment ID: I20130503000113 |
| Provider Name | Charles O Olisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265582837 PECOS PAC ID: 9436215019 Enrollment ID: I20130618000521 |
| Provider Name | Jagan Mohan Reddy Kothapally |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649385733 PECOS PAC ID: 1153473871 Enrollment ID: I20130708000569 |
| Provider Name | Desiree B Touvoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816435 PECOS PAC ID: 9638310170 Enrollment ID: I20130726000238 |
| Provider Name | Andres Montanez- Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902039530 PECOS PAC ID: 3173772761 Enrollment ID: I20130918000299 |
| Provider Name | Tamara Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124395918 PECOS PAC ID: 0648414136 Enrollment ID: I20130924000381 |
| Provider Name | Sirisha Talari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073777926 PECOS PAC ID: 1153580105 Enrollment ID: I20130930000114 |
| Provider Name | Diego R Valencia Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588896922 PECOS PAC ID: 6709037344 Enrollment ID: I20131010001261 |
| Provider Name | Amogelang Marylin Keakopa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134557333 PECOS PAC ID: 8527293497 Enrollment ID: I20131030001490 |
| Provider Name | Affiong Nsunwara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922310457 PECOS PAC ID: 9436386810 Enrollment ID: I20131210000471 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700065091 PECOS PAC ID: 8820279581 Enrollment ID: I20131219001254 |
| Provider Name | Edriss Estime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720272859 PECOS PAC ID: 7517013196 Enrollment ID: I20131226000627 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20140128000725 |
| Provider Name | Rachel Baerga Duperoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508167628 PECOS PAC ID: 7719120237 Enrollment ID: I20140217000203 |
| Provider Name | Jeyavarna Karthikeyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528188034 PECOS PAC ID: 9032245899 Enrollment ID: I20140326001301 |
| Provider Name | Robert Dorlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144261355 PECOS PAC ID: 0840380614 Enrollment ID: I20140714002083 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20140715001732 |
| Provider Name | Ahmad Alkaddour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659660272 PECOS PAC ID: 7315163615 Enrollment ID: I20140723000047 |
| Provider Name | Michael C Zaplin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912228792 PECOS PAC ID: 3678712957 Enrollment ID: I20140723001811 |
| Provider Name | Evan Kamperman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225324767 PECOS PAC ID: 7315186038 Enrollment ID: I20140805000530 |
| Provider Name | Cletus Tanwi Moma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982998373 PECOS PAC ID: 0042446353 Enrollment ID: I20140811002599 |
| Provider Name | Nesreen Kurtom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093861072 PECOS PAC ID: 9335172147 Enrollment ID: I20141001002613 |
| Provider Name | Diana Figueroa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366739062 PECOS PAC ID: 7618197823 Enrollment ID: I20141009001168 |
| Provider Name | Clodualdo Dean Gamez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568432292 PECOS PAC ID: 5496658155 Enrollment ID: I20141015000362 |
| Provider Name | Mohammad R Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982988440 PECOS PAC ID: 5698996551 Enrollment ID: I20141020000525 |
| Provider Name | Cara Leigh Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811232309 PECOS PAC ID: 4284856469 Enrollment ID: I20141107000466 |
| Provider Name | Arturo Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649563925 PECOS PAC ID: 8426270950 Enrollment ID: I20141117000840 |
| Provider Name | Shilpa Naren Jadeja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316250780 PECOS PAC ID: 3870759269 Enrollment ID: I20141119001142 |
| Provider Name | Vikram Behera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134337892 PECOS PAC ID: 5799841391 Enrollment ID: I20141210000350 |
| Provider Name | John R Chauvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326017856 PECOS PAC ID: 9537265988 Enrollment ID: I20141231001121 |
| Provider Name | Kenneth Wetcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487606547 PECOS PAC ID: 2668405853 Enrollment ID: I20150120001014 |
| Provider Name | Walter W Ang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558575696 PECOS PAC ID: 6406938844 Enrollment ID: I20150205002138 |
| Provider Name | Christina P Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750679908 PECOS PAC ID: 0042463184 Enrollment ID: I20150302002366 |
| Provider Name | Gary Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053427690 PECOS PAC ID: 6103846282 Enrollment ID: I20150305001601 |
| Provider Name | Happy Sadiek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518212547 PECOS PAC ID: 5193045318 Enrollment ID: I20150528002454 |
| Provider Name | Cassidy A Abbott Catron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306142518 PECOS PAC ID: 5799967584 Enrollment ID: I20150619001317 |
| Provider Name | Christina Feola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497154785 PECOS PAC ID: 0840502001 Enrollment ID: I20150701001550 |
| Provider Name | Treva Latresse Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134488851 PECOS PAC ID: 4587808597 Enrollment ID: I20150722004100 |
| Provider Name | Saadia Aurangzeb Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912209115 PECOS PAC ID: 8325272792 Enrollment ID: I20150724012296 |
| Provider Name | Eunice N Binyanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780074682 PECOS PAC ID: 9739493982 Enrollment ID: I20150731015082 |
| Provider Name | Xavier J Guerrero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922401231 PECOS PAC ID: 4183938939 Enrollment ID: I20150806011820 |
| Provider Name | Karen D Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487904116 PECOS PAC ID: 3678713666 Enrollment ID: I20150812008073 |
| Provider Name | Yvette Ronisha Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700265618 PECOS PAC ID: 7214242700 Enrollment ID: I20150812008365 |
| Provider Name | Katherine Sosa-anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801142450 PECOS PAC ID: 4183931579 Enrollment ID: I20150917000818 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20150923000648 |
| Provider Name | Welena Qazizada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366702318 PECOS PAC ID: 5395053821 Enrollment ID: I20151002002288 |
| Provider Name | Cynthia Rizk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043577414 PECOS PAC ID: 2567770761 Enrollment ID: I20151008001529 |
| Provider Name | Edward Yohanna Salib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073867941 PECOS PAC ID: 9931418902 Enrollment ID: I20151014002987 |
| Provider Name | Doris A Koduah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275592735 PECOS PAC ID: 8921995044 Enrollment ID: I20151105001723 |
| Provider Name | James D Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841660347 PECOS PAC ID: 4486964798 Enrollment ID: I20151116002612 |
| Provider Name | Nephertiti Efeovbokhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679738538 PECOS PAC ID: 7719123397 Enrollment ID: I20151118000033 |
| Provider Name | Clayton Aaron Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20151201000939 |
| Provider Name | Frank Marcos Vina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336497130 PECOS PAC ID: 5890090500 Enrollment ID: I20160217002126 |
| Provider Name | Simi Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215199179 PECOS PAC ID: 4284875444 Enrollment ID: I20160222000745 |
| Provider Name | Lamya Kacemi-bourhim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366705691 PECOS PAC ID: 8426354507 Enrollment ID: I20160316000877 |
| Provider Name | Mario Jorge Gonzalez Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427479310 PECOS PAC ID: 5597055657 Enrollment ID: I20160601001388 |
| Provider Name | Christopher Shawn Bolt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255684221 PECOS PAC ID: 5496065427 Enrollment ID: I20160620001400 |
| Provider Name | Alexander Parr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659682284 PECOS PAC ID: 3577707637 Enrollment ID: I20160706001046 |
| Provider Name | Arun Murali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932534435 PECOS PAC ID: 1557654548 Enrollment ID: I20160728001432 |
| Provider Name | Maulik C Govani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932540820 PECOS PAC ID: 7315230299 Enrollment ID: I20160729001728 |
| Provider Name | Ayham Chamseddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932135324 PECOS PAC ID: 5991718785 Enrollment ID: I20160729002046 |
| Provider Name | Jabari K Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902019888 PECOS PAC ID: 5698762219 Enrollment ID: I20160830002626 |
| Provider Name | Piotr H Tabaczewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568657450 PECOS PAC ID: 3375699358 Enrollment ID: I20160914002786 |
| Provider Name | Aniece Thermidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770920191 PECOS PAC ID: 2365738473 Enrollment ID: I20160915000605 |
| Provider Name | Gary Trewick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482850 PECOS PAC ID: 6608179858 Enrollment ID: I20160916001686 |
| Provider Name | Jessica Fonseca El-bahri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093140592 PECOS PAC ID: 2365739919 Enrollment ID: I20160924000371 |
| Provider Name | Monise M Maignan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831145028 PECOS PAC ID: 2466740659 Enrollment ID: I20161004000021 |
| Provider Name | Xiomara Velazco-vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801080346 PECOS PAC ID: 2062546898 Enrollment ID: I20161005000945 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20161005003084 |
| Provider Name | Mehul Suman Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346504123 PECOS PAC ID: 4587964135 Enrollment ID: I20161010001942 |
| Provider Name | Kathleen F Fort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205381571 PECOS PAC ID: 0042508525 Enrollment ID: I20161017001029 |
| Provider Name | Victor O Macias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093095929 PECOS PAC ID: 3274781737 Enrollment ID: I20161101000616 |
| Provider Name | Rahul Parimoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225034150 PECOS PAC ID: 8921104191 Enrollment ID: I20161110002306 |
| Provider Name | Malhar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942690193 PECOS PAC ID: 3779862891 Enrollment ID: I20161114000773 |
| Provider Name | Osama Elhilali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780023788 PECOS PAC ID: 7618256587 Enrollment ID: I20161116002318 |
| Provider Name | Jessica Visser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912249756 PECOS PAC ID: 6901185784 Enrollment ID: I20161118000592 |
| Provider Name | Nina Jordania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164428074 PECOS PAC ID: 8224003108 Enrollment ID: I20161202000278 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Sura Jermanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053755785 PECOS PAC ID: 6507171873 Enrollment ID: I20170103000128 |
| Provider Name | Carneisha Latoya Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427590470 PECOS PAC ID: 1759663156 Enrollment ID: I20170119001699 |
| Provider Name | Mustafa Rikabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588077697 PECOS PAC ID: 8820370950 Enrollment ID: I20170124002857 |
| Provider Name | Frank Michael Elterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013357185 PECOS PAC ID: 3971817727 Enrollment ID: I20170221002380 |
| Provider Name | Maria Filipinas Duenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437692993 PECOS PAC ID: 5092099853 Enrollment ID: I20170223001151 |
| Provider Name | Sophia A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093187825 PECOS PAC ID: 0143504803 Enrollment ID: I20170225000228 |
| Provider Name | Samina Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154385391 PECOS PAC ID: 4385769769 Enrollment ID: I20170313000375 |
| Provider Name | David Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903654 PECOS PAC ID: 4880978840 Enrollment ID: I20170313000387 |
| Provider Name | Arsalan Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366673667 PECOS PAC ID: 3072733823 Enrollment ID: I20170412001803 |
| Provider Name | David Jalal El Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750794699 PECOS PAC ID: 6305124058 Enrollment ID: I20170425002512 |
| Provider Name | Samuel Saad Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20170426000514 |
| Provider Name | Nicholas E Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518388099 PECOS PAC ID: 1850529652 Enrollment ID: I20170523002113 |
| Provider Name | Denise Amanda Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750823225 PECOS PAC ID: 3870860828 Enrollment ID: I20170524000164 |
| Provider Name | Hiba T. Ghani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508144171 PECOS PAC ID: 8325278385 Enrollment ID: I20170525002740 |
| Provider Name | Leonie A Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568994564 PECOS PAC ID: 8224070198 Enrollment ID: I20170609002293 |
| Provider Name | Ramadan Hammoud |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134328719 PECOS PAC ID: 7012104730 Enrollment ID: I20170717000668 |
| Provider Name | Sajeena Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453166 PECOS PAC ID: 8426329095 Enrollment ID: I20170801002080 |
| Provider Name | Amreeta Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578882585 PECOS PAC ID: 8820229008 Enrollment ID: I20170818002921 |
| Provider Name | Akilan Selvaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992955751 PECOS PAC ID: 1557655420 Enrollment ID: I20170822003138 |
| Provider Name | Matthew P Rossmann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215375423 PECOS PAC ID: 6002132636 Enrollment ID: I20170829002881 |
| Provider Name | Dipali Kinesh Changela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811393143 PECOS PAC ID: 0840562385 Enrollment ID: I20170913001610 |
| Provider Name | Catherine Kerns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801324645 PECOS PAC ID: 6507130432 Enrollment ID: I20170915002605 |
| Provider Name | Khine Swe Zin Min |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210226 PECOS PAC ID: 3375866718 Enrollment ID: I20170918001546 |
| Provider Name | Ilana D Hiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295278521 PECOS PAC ID: 4082989025 Enrollment ID: I20171002001879 |
| Provider Name | Amanda Caroline Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386017689 PECOS PAC ID: 3274834460 Enrollment ID: I20171002002334 |
| Provider Name | Katherine A Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336673003 PECOS PAC ID: 2264707173 Enrollment ID: I20171003005743 |
| Provider Name | Aji Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316485220 PECOS PAC ID: 7214202068 Enrollment ID: I20171004003752 |
| Provider Name | Stephanie Speights-sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720240 PECOS PAC ID: 9931474301 Enrollment ID: I20171011001025 |
| Provider Name | Nader Daoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336529817 PECOS PAC ID: 5991071128 Enrollment ID: I20171016002634 |
| Provider Name | Alicia M Deboe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417475369 PECOS PAC ID: 9830465947 Enrollment ID: I20171017002818 |
| Provider Name | Ali A Rawabdeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205115599 PECOS PAC ID: 0244482008 Enrollment ID: I20171103001900 |
| Provider Name | Edward Orshansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285054460 PECOS PAC ID: 8820218548 Enrollment ID: I20171120003394 |
| Provider Name | Vinay Garlapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271206 PECOS PAC ID: 5294092771 Enrollment ID: I20171208001976 |
| Provider Name | Rudra Beharrysingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366726077 PECOS PAC ID: 0749405801 Enrollment ID: I20180129002364 |
| Provider Name | Gabriel Rivera Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043727563 PECOS PAC ID: 4183986565 Enrollment ID: I20180322002735 |
| Provider Name | Gregory Saint-fort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316358419 PECOS PAC ID: 2062776297 Enrollment ID: I20180515003115 |
| Provider Name | Chaquanta Enjoli Eberheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013410844 PECOS PAC ID: 8729333059 Enrollment ID: I20180608002328 |
| Provider Name | Kristin Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215391610 PECOS PAC ID: 3678859816 Enrollment ID: I20180612003277 |
| Provider Name | Asaf Aleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851371405 PECOS PAC ID: 2365426269 Enrollment ID: I20180625000319 |
| Provider Name | Ali Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376924308 PECOS PAC ID: 9830445774 Enrollment ID: I20180706000635 |
| Provider Name | Clarice B Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467944116 PECOS PAC ID: 6608122270 Enrollment ID: I20180712000803 |
| Provider Name | Max Audran Belot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449695 PECOS PAC ID: 5193074516 Enrollment ID: I20180817003037 |
| Provider Name | Monicka S Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366823122 PECOS PAC ID: 4789934522 Enrollment ID: I20180829001454 |
| Provider Name | Neonila Zhukivskyy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275914269 PECOS PAC ID: 7911257506 Enrollment ID: I20180830003708 |
| Provider Name | Patricia Jean Pamas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104313469 PECOS PAC ID: 7113278276 Enrollment ID: I20181109002289 |
| Provider Name | Hadi Keylani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037166 PECOS PAC ID: 9335485887 Enrollment ID: I20190104000930 |
| Provider Name | Nader Ganim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972741056 PECOS PAC ID: 9133341902 Enrollment ID: I20190208002276 |
| Provider Name | Jason Bernard Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557386 PECOS PAC ID: 1153660931 Enrollment ID: I20190222002206 |
| Provider Name | Jose Luis Lopez Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164710182 PECOS PAC ID: 4385807619 Enrollment ID: I20190314000111 |
| Provider Name | Telisa Nicole Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720494941 PECOS PAC ID: 1355681982 Enrollment ID: I20190319001234 |
| Provider Name | Rosa Daisy Maytin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972068708 PECOS PAC ID: 7416298872 Enrollment ID: I20190411001984 |
| Provider Name | Ann Imber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164837233 PECOS PAC ID: 3173814845 Enrollment ID: I20191101002323 |
| Provider Name | Mary Joy Castro Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467088724 PECOS PAC ID: 3173935152 Enrollment ID: I20201216000386 |
Assessment Associates Of Austin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Bee Caves Rd., Austin, TX 78746 Phone: 512-328-2875 Fax: 512-328-1924 | |
Develop Common Ground, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5708 Penny Creek Dr, Austin, TX 78759 Phone: 512-231-1721 | |
Neurowellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Wells Branch Pkwy, 110b, Austin, TX 78728 Phone: 512-810-8948 | |
Fadya Albakry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg 7c, Austin, TX 78746 Phone: 512-589-5897 | |
Juno Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13625 Pond Springs Rd, Suite 104, Austin, TX 78729 Phone: 512-645-9388 | |
Compromiso Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 | |
Emily Bent, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Arundel Rd, Austin, TX 78738 Phone: 919-949-5888 |