| Inpatient Consultants Of Illinois, P.c. | |
|
12125 Woodcrest Executive Dr Suite 220 Saint Louis MO 63141-5001 | |
| (314) 317-0600 | |
| (314) 317-0606 |
| Full Name | Inpatient Consultants Of Illinois, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12125 Woodcrest Executive Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Kenneth Parsons (CEO/PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Consultants Of Illinois, P.c. 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Inpatient Consultants Of Illinois, P.c. 12125 Woodcrest Executive Dr Suite 220 Saint Louis MO 63141-5001 Ph: (314) 317-0600 |
| NPI Number | 1003850843 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 10/30/2020 |
| Medicare PECOS PAC ID | 9537064316 |
|---|---|
| Medicare Enrollment ID | O20031204000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003850843 | NPI | - | NPPES |
| Provider Name | Syed M Ala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233792 PECOS PAC ID: 7214836469 Enrollment ID: I20040107000216 |
| Provider Name | Nat T Levy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790777225 PECOS PAC ID: 8820994494 Enrollment ID: I20040129000943 |
| Provider Name | Richard B Warshell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336119163 PECOS PAC ID: 7214828219 Enrollment ID: I20040322000061 |
| Provider Name | Wasim Q Khawaja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750322491 PECOS PAC ID: 8325029341 Enrollment ID: I20040526000774 |
| Provider Name | Gilbert N Egekeze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548361959 PECOS PAC ID: 1850378803 Enrollment ID: I20040707000710 |
| Provider Name | Marc Crescenzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881678993 PECOS PAC ID: 6709787039 Enrollment ID: I20040813000200 |
| Provider Name | Jennifer L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386851160 PECOS PAC ID: 5991770877 Enrollment ID: I20040902000219 |
| Provider Name | Katrina L Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720087398 PECOS PAC ID: 4385603786 Enrollment ID: I20041008001415 |
| Provider Name | Khaja G Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730162108 PECOS PAC ID: 1951362300 Enrollment ID: I20041020000317 |
| Provider Name | Syed K Zaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427032036 PECOS PAC ID: 2567428576 Enrollment ID: I20041201001015 |
| Provider Name | Rajesh T Iyengar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821023714 PECOS PAC ID: 3274591821 Enrollment ID: I20041229000208 |
| Provider Name | Asad A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588631378 PECOS PAC ID: 9830142447 Enrollment ID: I20050223000669 |
| Provider Name | Parag K Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639107667 PECOS PAC ID: 4486685872 Enrollment ID: I20050825000441 |
| Provider Name | Reginald A Ebirim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396702957 PECOS PAC ID: 6406889690 Enrollment ID: I20050917000240 |
| Provider Name | Preethi Sasikumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780639062 PECOS PAC ID: 5496770190 Enrollment ID: I20051012000110 |
| Provider Name | Mohammed Memon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164577102 PECOS PAC ID: 9436104619 Enrollment ID: I20051013000614 |
| Provider Name | Tracey M Davenport |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114033826 PECOS PAC ID: 5799703245 Enrollment ID: I20051103000670 |
| Provider Name | Jerome V Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616819 PECOS PAC ID: 2961423140 Enrollment ID: I20051220000599 |
| Provider Name | Faisal Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730234535 PECOS PAC ID: 7517974637 Enrollment ID: I20060315000298 |
| Provider Name | Dapeng Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467407023 PECOS PAC ID: 5496767279 Enrollment ID: I20060616000147 |
| Provider Name | Mathai S Karingada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831125988 PECOS PAC ID: 7618971045 Enrollment ID: I20060828000041 |
| Provider Name | Jennifer Lim Angeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114945276 PECOS PAC ID: 2062410186 Enrollment ID: I20061127000257 |
| Provider Name | Wael Mazen Abdo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740284074 PECOS PAC ID: 8628963394 Enrollment ID: I20070615000462 |
| Provider Name | Syed S Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629182712 PECOS PAC ID: 7315030046 Enrollment ID: I20070913000762 |
| Provider Name | Danish Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083819684 PECOS PAC ID: 0143318451 Enrollment ID: I20071121000025 |
| Provider Name | Ashok K Khilwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770788317 PECOS PAC ID: 3870673874 Enrollment ID: I20080103000313 |
| Provider Name | Aleksandra Popovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356556369 PECOS PAC ID: 8426132887 Enrollment ID: I20080222000503 |
| Provider Name | Victoria L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255324513 PECOS PAC ID: 6901981406 Enrollment ID: I20080307000421 |
| Provider Name | Kate A Onyibor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801895701 PECOS PAC ID: 2961470836 Enrollment ID: I20080317000200 |
| Provider Name | Myra F Vicenio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780729830 PECOS PAC ID: 0840377420 Enrollment ID: I20080407000456 |
| Provider Name | Neelima Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265603054 PECOS PAC ID: 8325111602 Enrollment ID: I20080919000531 |
| Provider Name | Sunita Rembarsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497878128 PECOS PAC ID: 0547329955 Enrollment ID: I20081029000938 |
| Provider Name | Sathish Kumar Cullath Harikrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861421869 PECOS PAC ID: 1355348087 Enrollment ID: I20090110000210 |
| Provider Name | Zainab Ali Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013099555 PECOS PAC ID: 2567454440 Enrollment ID: I20090217000175 |
| Provider Name | Bolanle O Soyannwo Balogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316122468 PECOS PAC ID: 6103973557 Enrollment ID: I20090422000167 |
| Provider Name | Yaimet V Bucknor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902030836 PECOS PAC ID: 4880745470 Enrollment ID: I20090622000180 |
| Provider Name | Shadi Nabieh Marina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972764041 PECOS PAC ID: 5496809428 Enrollment ID: I20090811000120 |
| Provider Name | Simi Susan Rodney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003052150 PECOS PAC ID: 5890849848 Enrollment ID: I20090811000265 |
| Provider Name | Nathan P Holt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518127950 PECOS PAC ID: 5890849731 Enrollment ID: I20090812000432 |
| Provider Name | Praveen Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841438967 PECOS PAC ID: 7517009335 Enrollment ID: I20100116000170 |
| Provider Name | Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942224514 PECOS PAC ID: 1052393915 Enrollment ID: I20100203000318 |
| Provider Name | Neelima Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780832147 PECOS PAC ID: 2668509241 Enrollment ID: I20100430000275 |
| Provider Name | Jayme Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811224595 PECOS PAC ID: 7113056755 Enrollment ID: I20100520000274 |
| Provider Name | Danica Milenkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114902632 PECOS PAC ID: 1951593201 Enrollment ID: I20101005001302 |
| Provider Name | Asma S Manzar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740517408 PECOS PAC ID: 7416140900 Enrollment ID: I20101015000925 |
| Provider Name | Bhupesh Dhananjayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104931476 PECOS PAC ID: 9537269956 Enrollment ID: I20101021001005 |
| Provider Name | Farah Diba Ciftci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902135668 PECOS PAC ID: 3577746254 Enrollment ID: I20110318000344 |
| Provider Name | Lisa E Hosea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871560060 PECOS PAC ID: 6507800414 Enrollment ID: I20110322001030 |
| Provider Name | Ali Wasiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770731002 PECOS PAC ID: 5395922058 Enrollment ID: I20110606000430 |
| Provider Name | Gautam Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285892455 PECOS PAC ID: 6103094925 Enrollment ID: I20110722000118 |
| Provider Name | Timothy J Stevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710108113 PECOS PAC ID: 4688843113 Enrollment ID: I20110817000760 |
| Provider Name | Aurelian S. Ivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841467743 PECOS PAC ID: 3274704630 Enrollment ID: I20110915000861 |
| Provider Name | Pooja Dhir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659608313 PECOS PAC ID: 5991978272 Enrollment ID: I20111102000083 |
| Provider Name | Antonio T Mister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104079185 PECOS PAC ID: 8527228907 Enrollment ID: I20120321000687 |
| Provider Name | Helen N Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841563822 PECOS PAC ID: 7911044037 Enrollment ID: I20120402000144 |
| Provider Name | Maged A Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154634145 PECOS PAC ID: 8921262098 Enrollment ID: I20120621000360 |
| Provider Name | Nastane Le Bec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518123843 PECOS PAC ID: 0042475915 Enrollment ID: I20120626000642 |
| Provider Name | Gina Michelle Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629354519 PECOS PAC ID: 1951557701 Enrollment ID: I20120809000491 |
| Provider Name | Jayashree R Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598791170 PECOS PAC ID: 1850369059 Enrollment ID: I20120824000834 |
| Provider Name | Fadi M Kara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942519533 PECOS PAC ID: 2264684018 Enrollment ID: I20121130000581 |
| Provider Name | Felix Ngeh Fonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386994812 PECOS PAC ID: 1153574462 Enrollment ID: I20130118000145 |
| Provider Name | Mohammed S Hammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235148982 PECOS PAC ID: 2668490640 Enrollment ID: I20130122000407 |
| Provider Name | Chintalben Diliphai Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033419551 PECOS PAC ID: 3173777919 Enrollment ID: I20130204000282 |
| Provider Name | Toks Macarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164608964 PECOS PAC ID: 2264509041 Enrollment ID: I20130220000056 |
| Provider Name | Rafath Ullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326350034 PECOS PAC ID: 8224277330 Enrollment ID: I20130621000348 |
| Provider Name | Mohammed S Hussain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942466545 PECOS PAC ID: 9830331206 Enrollment ID: I20130814000516 |
| Provider Name | Ahmad Alwakkaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881031755 PECOS PAC ID: 1456595362 Enrollment ID: I20130916000399 |
| Provider Name | Shikha Bhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356667273 PECOS PAC ID: 7810123312 Enrollment ID: I20131111000595 |
| Provider Name | Juliet George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770925141 PECOS PAC ID: 0345476552 Enrollment ID: I20131118001340 |
| Provider Name | Sunita Koul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003127895 PECOS PAC ID: 1456587427 Enrollment ID: I20131121000684 |
| Provider Name | Nisha Sam George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750723532 PECOS PAC ID: 8820225691 Enrollment ID: I20131226001531 |
| Provider Name | Maytee Boonyapredee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235314501 PECOS PAC ID: 6406912492 Enrollment ID: I20140319000153 |
| Provider Name | Sanya Siraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356554075 PECOS PAC ID: 6204966849 Enrollment ID: I20140409002361 |
| Provider Name | Zahid M Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619121639 PECOS PAC ID: 0244461226 Enrollment ID: I20140429000086 |
| Provider Name | Joshua Everhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457537011 PECOS PAC ID: 4082768528 Enrollment ID: I20140514000013 |
| Provider Name | Gloria Nezianya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023430832 PECOS PAC ID: 2365665502 Enrollment ID: I20140515002211 |
| Provider Name | Susan D Huchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154748648 PECOS PAC ID: 9133346745 Enrollment ID: I20140805002212 |
| Provider Name | Kangni Zong Grob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336448927 PECOS PAC ID: 9931326253 Enrollment ID: I20140811001620 |
| Provider Name | Josia N Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063709236 PECOS PAC ID: 9537388343 Enrollment ID: I20140909002563 |
| Provider Name | Maryana Yaremko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407134661 PECOS PAC ID: 8325268873 Enrollment ID: I20141003001002 |
| Provider Name | Nausheen Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322215 PECOS PAC ID: 5991861312 Enrollment ID: I20141224000668 |
| Provider Name | Sandeep Pulimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730429408 PECOS PAC ID: 5890936587 Enrollment ID: I20150106000473 |
| Provider Name | Lasheah M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114318136 PECOS PAC ID: 7012234784 Enrollment ID: I20150318001743 |
| Provider Name | Kun Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891086906 PECOS PAC ID: 5294052874 Enrollment ID: I20150318002657 |
| Provider Name | Margaret Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609270859 PECOS PAC ID: 6507183050 Enrollment ID: I20150323001449 |
| Provider Name | Maysa H Abdul Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245417070 PECOS PAC ID: 7517003775 Enrollment ID: I20150512000402 |
| Provider Name | Anthony Del Priore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275888216 PECOS PAC ID: 9931429388 Enrollment ID: I20150526002207 |
| Provider Name | Adnan Qadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477817278 PECOS PAC ID: 0648410324 Enrollment ID: I20150612002368 |
| Provider Name | Manish Gorasiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386053825 PECOS PAC ID: 2860703998 Enrollment ID: I20150616002339 |
| Provider Name | Syed M Najeeb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295000677 PECOS PAC ID: 4183935802 Enrollment ID: I20150623000829 |
| Provider Name | Siddharth Munsif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184926040 PECOS PAC ID: 0648414375 Enrollment ID: I20150710001156 |
| Provider Name | Jyothi Achankunju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457625303 PECOS PAC ID: 9931413416 Enrollment ID: I20150728004446 |
| Provider Name | Jennifer L Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942569959 PECOS PAC ID: 0840504908 Enrollment ID: I20150803001238 |
| Provider Name | Elissa K Adatya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871784553 PECOS PAC ID: 0345425807 Enrollment ID: I20150812009184 |
| Provider Name | William Antonio Kcomt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710989587 PECOS PAC ID: 1456323443 Enrollment ID: I20150904002420 |
| Provider Name | Christopher G Enoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326297987 PECOS PAC ID: 7810178837 Enrollment ID: I20150930001602 |
| Provider Name | Bhavya Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578977922 PECOS PAC ID: 0345468914 Enrollment ID: I20151007001771 |
| Provider Name | Sreekanth Uppuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881951630 PECOS PAC ID: 0749412781 Enrollment ID: I20151020000203 |
| Provider Name | Evan Ray Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801393 PECOS PAC ID: 1254640840 Enrollment ID: I20151022000009 |
| Provider Name | Anas A Elshafei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336436203 PECOS PAC ID: 5395986368 Enrollment ID: I20151026000847 |
| Provider Name | Nancy Sondgeroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950842 PECOS PAC ID: 6608186812 Enrollment ID: I20151029002942 |
| Provider Name | Joanne T Wheaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548637226 PECOS PAC ID: 5496751224 Enrollment ID: I20151130001744 |
| Provider Name | Uroosa Kamran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821353707 PECOS PAC ID: 1052534252 Enrollment ID: I20160105002464 |
| Provider Name | Bissy Kumpuckal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784645 PECOS PAC ID: 6709189046 Enrollment ID: I20160121000248 |
| Provider Name | Nausheen Zufishan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316292444 PECOS PAC ID: 1759686652 Enrollment ID: I20160301001042 |
| Provider Name | Shamaila B Gorsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427338409 PECOS PAC ID: 7214233618 Enrollment ID: I20160310002216 |
| Provider Name | Timothy J Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891974481 PECOS PAC ID: 8325111438 Enrollment ID: I20160330000523 |
| Provider Name | Gene Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457618456 PECOS PAC ID: 8527371392 Enrollment ID: I20160510002176 |
| Provider Name | Najma A Papa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588994834 PECOS PAC ID: 6406145275 Enrollment ID: I20160518000251 |
| Provider Name | Lina Aelita Pacevicius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750749503 PECOS PAC ID: 5294026373 Enrollment ID: I20160621000376 |
| Provider Name | Stephanie Marie Schnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255787156 PECOS PAC ID: 1557652369 Enrollment ID: I20160627001380 |
| Provider Name | Imelda Homecgoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487010534 PECOS PAC ID: 9638461429 Enrollment ID: I20160715000158 |
| Provider Name | Ademola Aremu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356796916 PECOS PAC ID: 1052603768 Enrollment ID: I20160715001043 |
| Provider Name | Amy Reif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497072953 PECOS PAC ID: 7214162023 Enrollment ID: I20160725001646 |
| Provider Name | Imran A Osmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457794794 PECOS PAC ID: 5890921332 Enrollment ID: I20160906000456 |
| Provider Name | Dennis Dobitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356788285 PECOS PAC ID: 7810298569 Enrollment ID: I20161005001631 |
| Provider Name | Matthew James Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760759856 PECOS PAC ID: 6002053220 Enrollment ID: I20161006002092 |
| Provider Name | Laurel A Bergren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487102299 PECOS PAC ID: 9739460213 Enrollment ID: I20161220002295 |
| Provider Name | Melissa Ann Varanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114324324 PECOS PAC ID: 3870819071 Enrollment ID: I20161228001075 |
| Provider Name | Gaurav Alreja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639346380 PECOS PAC ID: 6204995145 Enrollment ID: I20170112003387 |
| Provider Name | Alla Chukhray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962957167 PECOS PAC ID: 8022390624 Enrollment ID: I20170113002504 |
| Provider Name | Olena Georgiyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093257784 PECOS PAC ID: 8820372410 Enrollment ID: I20170227001330 |
| Provider Name | Chioma Ezeani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134402670 PECOS PAC ID: 7618196478 Enrollment ID: I20170323001127 |
| Provider Name | Claire M Brines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477090710 PECOS PAC ID: 6901182997 Enrollment ID: I20170405000948 |
| Provider Name | Pinalkumar V Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558593582 PECOS PAC ID: 1850421009 Enrollment ID: I20170418002618 |
| Provider Name | Usman Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588004881 PECOS PAC ID: 0547569071 Enrollment ID: I20170602000463 |
| Provider Name | Avani H Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366971970 PECOS PAC ID: 5496024705 Enrollment ID: I20170629002486 |
| Provider Name | Farooq H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861797276 PECOS PAC ID: 3971739210 Enrollment ID: I20170724000122 |
| Provider Name | Madonna Fabian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124438411 PECOS PAC ID: 9931470754 Enrollment ID: I20170811001996 |
| Provider Name | Kim V Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891235230 PECOS PAC ID: 0143592741 Enrollment ID: I20170816003604 |
| Provider Name | Sophia Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821228321 PECOS PAC ID: 9436305166 Enrollment ID: I20170821003053 |
| Provider Name | Sm Jamalvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801028162 PECOS PAC ID: 8224272372 Enrollment ID: I20170823001064 |
| Provider Name | Arshibanoo Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679989966 PECOS PAC ID: 3375818008 Enrollment ID: I20171005003796 |
| Provider Name | Fatima Ali Hyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508069212 PECOS PAC ID: 8426181231 Enrollment ID: I20171013002397 |
| Provider Name | Rizma J Bajwa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427211978 PECOS PAC ID: 7214120237 Enrollment ID: I20171108000015 |
| Provider Name | Reda Kubilius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063921799 PECOS PAC ID: 7517223308 Enrollment ID: I20171110001757 |
| Provider Name | Kailash Bajaj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538326012 PECOS PAC ID: 1850583667 Enrollment ID: I20171122002714 |
| Provider Name | Kristin Noriega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053726547 PECOS PAC ID: 5597023499 Enrollment ID: I20171226000997 |
| Provider Name | Hesham R Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407152366 PECOS PAC ID: 9739313321 Enrollment ID: I20180119000973 |
| Provider Name | Kamal N Yoakim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447415641 PECOS PAC ID: 8820129950 Enrollment ID: I20180219001801 |
| Provider Name | Ashley E Gaebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376058644 PECOS PAC ID: 4385908334 Enrollment ID: I20180430000419 |
| Provider Name | Gaurav Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831570720 PECOS PAC ID: 6204191885 Enrollment ID: I20180531002758 |
| Provider Name | Erik Mikaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932337011 PECOS PAC ID: 2466618293 Enrollment ID: I20180730000264 |
| Provider Name | Daniel J Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093007221 PECOS PAC ID: 1658511407 Enrollment ID: I20180810002370 |
| Provider Name | Himanshu Ohri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265702278 PECOS PAC ID: 7315166550 Enrollment ID: I20180823001127 |
| Provider Name | Ningjing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629457809 PECOS PAC ID: 3870898463 Enrollment ID: I20180904001349 |
| Provider Name | Lana Akkari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154702082 PECOS PAC ID: 6103178280 Enrollment ID: I20181018000899 |
| Provider Name | Irfan Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124369855 PECOS PAC ID: 3577860295 Enrollment ID: I20181107001154 |
| Provider Name | Luis Alfredo Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760895395 PECOS PAC ID: 6103195078 Enrollment ID: I20181214001471 |
| Provider Name | Eniola Oshodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093286643 PECOS PAC ID: 2668719725 Enrollment ID: I20190128001427 |
| Provider Name | Wahaj Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750834628 PECOS PAC ID: 7517211048 Enrollment ID: I20190404000324 |
| Provider Name | Michelle D. Asbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750740650 PECOS PAC ID: 5698072189 Enrollment ID: I20190410000639 |
| Provider Name | Tina D Lofton Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902396542 PECOS PAC ID: 2466795398 Enrollment ID: I20190516002429 |
| Provider Name | Syed Saif Zahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649666900 PECOS PAC ID: 6406105782 Enrollment ID: I20190521001990 |
| Provider Name | Corrin Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306370838 PECOS PAC ID: 5698039162 Enrollment ID: I20190619000484 |
| Provider Name | Denise A Sakyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679925531 PECOS PAC ID: 3678808128 Enrollment ID: I20190705000927 |
| Provider Name | Whitney Michelle Dawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376906164 PECOS PAC ID: 1355623919 Enrollment ID: I20190709000142 |
| Provider Name | Kosta Nikolov Matrov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104121623 PECOS PAC ID: 7113178146 Enrollment ID: I20190725000821 |
| Provider Name | Gina Roshdy Hanna Shokry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104275825 PECOS PAC ID: 0941537468 Enrollment ID: I20190807000003 |
| Provider Name | Dhafer Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467855973 PECOS PAC ID: 8921356429 Enrollment ID: I20190820002635 |
| Provider Name | John Fikry Mityas Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134675218 PECOS PAC ID: 2264761055 Enrollment ID: I20190903003080 |
| Provider Name | Hussam Eskandafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013362334 PECOS PAC ID: 6507159639 Enrollment ID: I20191014001171 |
| Provider Name | Tariq S Lateef |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619364221 PECOS PAC ID: 0840522678 Enrollment ID: I20191029001323 |
| Provider Name | Jay M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396000287 PECOS PAC ID: 9234446295 Enrollment ID: I20191205002343 |
| Provider Name | Anas Kizawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154771772 PECOS PAC ID: 8820329204 Enrollment ID: I20200102002042 |
| Provider Name | Christine I Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514989 PECOS PAC ID: 9638420003 Enrollment ID: I20200219000837 |
| Provider Name | Shazia Azmat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231420 PECOS PAC ID: 5294168894 Enrollment ID: I20200319000087 |
| Provider Name | Klaudia Gwozdz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568094803 PECOS PAC ID: 0547698771 Enrollment ID: I20200320002160 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20200601000836 |
| Provider Name | Saumya Amitkumar Mehta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386178259 PECOS PAC ID: 7012285711 Enrollment ID: I20200807002943 |
| Provider Name | Nicholas A Barreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942730742 PECOS PAC ID: 9537584461 Enrollment ID: I20200810000331 |
| Provider Name | Muhammad F Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225491095 PECOS PAC ID: 7012248487 Enrollment ID: I20200813001109 |
| Provider Name | Jay K Yarlagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285029348 PECOS PAC ID: 5092022624 Enrollment ID: I20200824002917 |
| Provider Name | Doreen Zokvic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447552153 PECOS PAC ID: 8820279300 Enrollment ID: I20200923000016 |
| Provider Name | Nimi J Chirayil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629598081 PECOS PAC ID: 5890114649 Enrollment ID: I20200929001655 |
| Provider Name | Zin M Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508122136 PECOS PAC ID: 3779806161 Enrollment ID: I20201029000967 |
| Provider Name | Marc Wrich G Dy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811417892 PECOS PAC ID: 4587074596 Enrollment ID: I20201103001221 |
| Provider Name | Trisha May Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710591854 PECOS PAC ID: 2264842830 Enrollment ID: I20201110002718 |
| Provider Name | Nidal N Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20210311001148 |
| Provider Name | Gautham Anil Oroskar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891291886 PECOS PAC ID: 0143629949 Enrollment ID: I20210527002351 |
| Provider Name | Hafeez Shaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588150221 PECOS PAC ID: 2264784917 Enrollment ID: I20210610000747 |
| Provider Name | Harsh Rawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164804670 PECOS PAC ID: 3779815196 Enrollment ID: I20210617002714 |
| Provider Name | Sagar N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609379932 PECOS PAC ID: 6204183452 Enrollment ID: I20210727001867 |
| Provider Name | Rahmana H Aziz Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346824620 PECOS PAC ID: 3173926946 Enrollment ID: I20210730002745 |
| Provider Name | Sirisha Yellayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473519 PECOS PAC ID: 3375894462 Enrollment ID: I20210915001139 |
| Provider Name | Rabia Arif Jawed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962907816 PECOS PAC ID: 0244587087 Enrollment ID: I20211018001870 |
| Provider Name | Chaudhary F Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144637380 PECOS PAC ID: 9133410061 Enrollment ID: I20211020001073 |
| Provider Name | Shabreen Abdul Sharief |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992025118 PECOS PAC ID: 5991921215 Enrollment ID: I20211029000257 |
| Provider Name | Lydia Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770010936 PECOS PAC ID: 6800166182 Enrollment ID: I20211222002581 |
| Provider Name | Rima Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871025858 PECOS PAC ID: 2961775184 Enrollment ID: I20220113001931 |
| Provider Name | Rushabh A Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588169379 PECOS PAC ID: 7810244522 Enrollment ID: I20220118001631 |
| Provider Name | Barbara M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891350328 PECOS PAC ID: 7911240528 Enrollment ID: I20220120001276 |
| Provider Name | Fariha Arif Khatri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447608534 PECOS PAC ID: 8527312511 Enrollment ID: I20220124001080 |
| Provider Name | Jonathan L Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942705587 PECOS PAC ID: 9739429622 Enrollment ID: I20220124002460 |
| Provider Name | Shabaz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366430076 PECOS PAC ID: 7113962010 Enrollment ID: I20220204001675 |
| Provider Name | Louay Jajeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174028088 PECOS PAC ID: 6507113396 Enrollment ID: I20220420002796 |
| Provider Name | Umar Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558802751 PECOS PAC ID: 3577897529 Enrollment ID: I20220524000935 |
| Provider Name | Monal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285082669 PECOS PAC ID: 6406287887 Enrollment ID: I20220531001302 |
| Provider Name | Avesh Thaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760045926 PECOS PAC ID: 2860721776 Enrollment ID: I20220908003117 |
| Provider Name | Sara Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700449998 PECOS PAC ID: 1153650924 Enrollment ID: I20220914002176 |
| Provider Name | Hannia Farooqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972169274 PECOS PAC ID: 7618204850 Enrollment ID: I20221110000482 |
| Provider Name | Megan E Barber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407274533 PECOS PAC ID: 6002118890 Enrollment ID: I20221209000740 |
| Provider Name | Ammar Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215596523 PECOS PAC ID: 4688059397 Enrollment ID: I20221220002534 |
| Provider Name | Michael John Montesano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477116507 PECOS PAC ID: 0143556027 Enrollment ID: I20221222000766 |
| Provider Name | Sarah Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528621497 PECOS PAC ID: 5395142780 Enrollment ID: I20230208000379 |
| Provider Name | Awfa Zain-abdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619535945 PECOS PAC ID: 9335474659 Enrollment ID: I20230309001011 |
| Provider Name | Nidal Jibawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285138297 PECOS PAC ID: 8123376548 Enrollment ID: I20230309002123 |
| Provider Name | Kanik Kathuria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609118140 PECOS PAC ID: 1951698174 Enrollment ID: I20230621002633 |
| Provider Name | Timothy Alan Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124645700 PECOS PAC ID: 8224499348 Enrollment ID: I20230804001182 |
| Provider Name | Zakaria Ibrahim Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780211763 PECOS PAC ID: 9537523766 Enrollment ID: I20230906004003 |
| Provider Name | Jody Allan Sanchez Junia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710065206 PECOS PAC ID: 1052312832 Enrollment ID: I20230907002450 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |