Maryland General Clinical Practice Group, Inc. - Medicare Primary Care in Baltimore, MD

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Maryland General Clinical Practice Group, Inc. is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Baltimore, Maryland. The current practice location for Maryland General Clinical Practice Group, Inc. is 827 Linden Ave, Baltimore, Maryland. For appointments, you can reach them via phone at (443) 462-5093. The mailing address for Maryland General Clinical Practice Group, Inc. is Po Box 64522, Baltimore, Maryland and phone number is (443) 462-5093.

Maryland General Clinical Practice Group, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770684805. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (443) 462-5093.

Contact Information

Maryland General Clinical Practice Group, Inc.
827 Linden Ave
Baltimore
MD 21264-0001
(443) 462-5093
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMaryland General Clinical Practice Group, Inc.
SpecialityClinic/Center
Location827 Linden Ave, Baltimore, Maryland
Authorized Official Name and PositionGeorge Sprinkel (CFO)
Authorized Official Contact4103281501
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maryland General Clinical Practice Group, Inc.
Po Box 64522
Baltimore
MD 21264-4522

Ph: (443) 462-5093		Maryland General Clinical Practice Group, Inc.
827 Linden Ave
Baltimore
MD 21264-0001

Ph: (443) 462-5093

NPI Details:

NPI Number1770684805
Provider Enumeration Date09/25/2006
Last Update Date03/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8123926649
Medicare Enrollment IDO20041109000226

Medical Identifiers

Medical identifiers for Maryland General Clinical Practice Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770684805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maryland General Clinical Practice Group, Inc. acts as a billing entity for following providers:
Provider NameMarcus Francisco Sciadini
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558304667
PECOS PAC ID: 4183510910
Enrollment ID: I20040226001019
Provider NameEugene J Schweitzer
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1598789778
PECOS PAC ID: 1254321854
Enrollment ID: I20040515000169
Provider NameJanaki C Kuruppu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1245285089
PECOS PAC ID: 8426015769
Enrollment ID: I20041217000524
Provider NameTynnetta Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578573440
PECOS PAC ID: 9739137035
Enrollment ID: I20050104000207
Provider NameNaznin Esphani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306846852
PECOS PAC ID: 1355394404
Enrollment ID: I20050301000333
Provider NameDimitrios V Mavrophilipos
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861537797
PECOS PAC ID: 1153360680
Enrollment ID: I20050425001221
Provider NameAshok K Agrawal
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1033180070
PECOS PAC ID: 4082653217
Enrollment ID: I20050427001083
Provider NameCynthia D Broadnax
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710971221
PECOS PAC ID: 8022051671
Enrollment ID: I20050606000541
Provider NameZacharias V Mavrophilipos
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366587297
PECOS PAC ID: 9931138260
Enrollment ID: I20050808000488
Provider NameGedion Atnafu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1326006578
PECOS PAC ID: 1850326935
Enrollment ID: I20050927001498
Provider NameCarla A Aresco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235202037
PECOS PAC ID: 1052413697
Enrollment ID: I20070228000126
Provider NameRobert T Chow
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1447200902
PECOS PAC ID: 6507968187
Enrollment ID: I20070228000490
Provider NameRupinder Singh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750480729
PECOS PAC ID: 0648240010
Enrollment ID: I20070328000664
Provider NameRobert G Dewberry
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1922194380
PECOS PAC ID: 6002911633
Enrollment ID: I20070410000440
Provider NameShabbir A Choudhry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740334747
PECOS PAC ID: 0749388064
Enrollment ID: I20070611000598
Provider NameBabak S Pirouz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609072578
PECOS PAC ID: 6103912118
Enrollment ID: I20071022000306
Provider NamePatricia A Eben
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700966496
PECOS PAC ID: 4385607027
Enrollment ID: I20071120000673
Provider NameKofi Owusu Antwi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801097084
PECOS PAC ID: 6204912314
Enrollment ID: I20080328000380
Provider NameVijay K Sharma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922169028
PECOS PAC ID: 5496833469
Enrollment ID: I20080416000659
Provider NameSherla S Farrell-sealey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013178862
PECOS PAC ID: 6709950645
Enrollment ID: I20080811000417
Provider NameAderonke O Omotade
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568571305
PECOS PAC ID: 3577623180
Enrollment ID: I20081126000384
Provider NameJanet Selway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760427348
PECOS PAC ID: 9739243668
Enrollment ID: I20090121000535
Provider NameUdaya Bhaskara R Sunkara
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1578542593
PECOS PAC ID: 3072659267
Enrollment ID: I20091001000010
Provider NameBenjamin I Opara
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1548221054
PECOS PAC ID: 3971649419
Enrollment ID: I20091014000073
Provider NameLaurence H Scipio
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1275505711
PECOS PAC ID: 0648319376
Enrollment ID: I20091209000225
Provider NameJodi L Berg-gaither
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023157930
PECOS PAC ID: 5193864106
Enrollment ID: I20091216000395
Provider NameShirene Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932383288
PECOS PAC ID: 4385785971
Enrollment ID: I20100105000122
Provider NameMichael P Lilly
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1700887916
PECOS PAC ID: 6204961865
Enrollment ID: I20100322000165
Provider NameKelechi A Uduhiri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598880460
PECOS PAC ID: 7911034228
Enrollment ID: I20100419000339
Provider NamePatricia A Mclaughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265759856
PECOS PAC ID: 4981735685
Enrollment ID: I20100624000300
Provider NameAnwar I Khokhar
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1407822927
PECOS PAC ID: 1052443546
Enrollment ID: I20100720000040
Provider NameMichael G Hayes
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1871566125
PECOS PAC ID: 7214829738
Enrollment ID: I20100823000338
Provider NameRenee Naomi Carter Owens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891816146
PECOS PAC ID: 0547386625
Enrollment ID: I20100927000238
Provider NameSivarama Kp Sompalli
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1922028307
PECOS PAC ID: 9133312382
Enrollment ID: I20101020000189
Provider NameSaverio Mirarchi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639124365
PECOS PAC ID: 4183812795
Enrollment ID: I20101227000378
Provider NameMarian Currens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508950015
PECOS PAC ID: 5092991331
Enrollment ID: I20110520000273
Provider NameDavid Berman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013204668
PECOS PAC ID: 9638357965
Enrollment ID: I20110708000499
Provider NameJennifer Goldsborough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174661094
PECOS PAC ID: 1658538921
Enrollment ID: I20120130000557
Provider NameDaniel Ray Howard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497793673
PECOS PAC ID: 6305856287
Enrollment ID: I20120220000377
Provider NameJared M Muhati
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760703185
PECOS PAC ID: 7719003110
Enrollment ID: I20120629000150
Provider NameJonathan Patrick Pearl
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1114989407
PECOS PAC ID: 6608877923
Enrollment ID: I20120821000684
Provider NameYvonne M Rasko
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1902000789
PECOS PAC ID: 3678721107
Enrollment ID: I20120907000201
Provider NameFikre W Degefu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649402876
PECOS PAC ID: 3072764356
Enrollment ID: I20131126001553
Provider NameMaurice Jeter
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558543447
PECOS PAC ID: 8729151758
Enrollment ID: I20131230001715
Provider NameDavid Gitlitz
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1174605323
PECOS PAC ID: 7012972847
Enrollment ID: I20140605001317
Provider NameMiriam B Michael
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1477565059
PECOS PAC ID: 2769546258
Enrollment ID: I20140723000880
Provider NameSara A Vazer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962452045
PECOS PAC ID: 3072594910
Enrollment ID: I20140730001739
Provider NameLane P Fodel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295026292
PECOS PAC ID: 6406016096
Enrollment ID: I20140930002400
Provider NameKaitlin E Shapelow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235559642
PECOS PAC ID: 9436379757
Enrollment ID: I20141008000205
Provider NameElizabeth Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790121903
PECOS PAC ID: 9830319169
Enrollment ID: I20141008000978
Provider NameLauren M Schroeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134430473
PECOS PAC ID: 6406024843
Enrollment ID: I20150511000132
Provider NameJennifer Massetti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417277898
PECOS PAC ID: 2769642370
Enrollment ID: I20160201000863
Provider NameEdith M Muthungu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972879864
PECOS PAC ID: 7113178906
Enrollment ID: I20160331000190
Provider NameEllenor S Chance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235583014
PECOS PAC ID: 0345531851
Enrollment ID: I20160614001028
Provider NameJacqueline Wisner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295164911
PECOS PAC ID: 7618263302
Enrollment ID: I20160906002437
Provider NameMegan C Lilli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427595651
PECOS PAC ID: 5496031262
Enrollment ID: I20170410001296
Provider NameJeffrey Gerbino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407115348
PECOS PAC ID: 7214169978
Enrollment ID: I20170512000640
Provider NameLaura Joseph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568903235
PECOS PAC ID: 6901173939
Enrollment ID: I20170523002591
Provider NameEvelyn K Ogendi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215467089
PECOS PAC ID: 8022389642
Enrollment ID: I20170801000009
Provider NameKim Chi Quang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851718837
PECOS PAC ID: 7012231947
Enrollment ID: I20171013001188
Provider NameAngela Longe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437558483
PECOS PAC ID: 6608134267
Enrollment ID: I20180103002297
Provider NameAwawu Aramide Ojikutu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457870461
PECOS PAC ID: 6901165596
Enrollment ID: I20180104000836
Provider NameJo-ann Mittelman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942330055
PECOS PAC ID: 3678870037
Enrollment ID: I20180423000621
Provider NameMartine Elaine Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275088163
PECOS PAC ID: 6507152337
Enrollment ID: I20180430000752
Provider NameMary E Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225418221
PECOS PAC ID: 9537478680
Enrollment ID: I20180507000314
Provider NameSarasijhaa K Desikan
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1528402252
PECOS PAC ID: 2365755568
Enrollment ID: I20181115000014
Provider NameKedija H Hedara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154717601
PECOS PAC ID: 9537408687
Enrollment ID: I20190307000075
Provider NameWei Li
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1639475296
PECOS PAC ID: 8921241803
Enrollment ID: I20190311001339
Provider NameTracy L Lamb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619281870
PECOS PAC ID: 8224378708
Enrollment ID: I20190320000420
Provider NameOnyinye Ugorji
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487074324
PECOS PAC ID: 9335489582
Enrollment ID: I20190326000348
Provider NameLinda Richard Ryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730206459
PECOS PAC ID: 5698016830
Enrollment ID: I20190416001742
Provider NameJoan Hershey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912346479
PECOS PAC ID: 7911233770
Enrollment ID: I20190731003081
Provider NameNatalie F Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679006977
PECOS PAC ID: 5193086783
Enrollment ID: I20190802002856
Provider NameRenay Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548327083
PECOS PAC ID: 8123294378
Enrollment ID: I20190814000081
Provider NameAlbert N Nguyen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902290125
PECOS PAC ID: 3072811280
Enrollment ID: I20190827001199
Provider NameNatalia S Kubicki
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1578829636
PECOS PAC ID: 2668771890
Enrollment ID: I20190926002014
Provider NameBetsy L White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720565872
PECOS PAC ID: 1456784784
Enrollment ID: I20191127001147
Provider NameMary O Cumming
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1548503790
PECOS PAC ID: 8527359827
Enrollment ID: I20200129000735
Provider NameKatherine Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942839709
PECOS PAC ID: 6406286061
Enrollment ID: I20200422001039
Provider NameAmber M Jobe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700261161
PECOS PAC ID: 0749616746
Enrollment ID: I20200602002825
Provider NameMaria Higgins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750917399
PECOS PAC ID: 6406278415
Enrollment ID: I20200622000106
Provider NameRichard Cooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861911687
PECOS PAC ID: 1658637715
Enrollment ID: I20200709000578
Provider NameSwati Chaparala
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1942680483
PECOS PAC ID: 2860704871
Enrollment ID: I20200826003497
Provider NameDanae Di Rocco
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568824936
PECOS PAC ID: 3779878194
Enrollment ID: I20200930001207
Provider NameErnest Njonkem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447898143
PECOS PAC ID: 6608295340
Enrollment ID: I20200930001661
Provider NameWilliam Mangana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861018848
PECOS PAC ID: 4981927688
Enrollment ID: I20201007002996
Provider NameEdwin Juma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134781875
PECOS PAC ID: 8729498589
Enrollment ID: I20210210002428
Provider NameOlimatu Iye Habib
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760035711
PECOS PAC ID: 0941615371
Enrollment ID: I20210217002576
Provider NameTemitope O Akinladenu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972147189
PECOS PAC ID: 3274963863
Enrollment ID: I20210416000322
Provider NameCrystal N Debeary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669064507
PECOS PAC ID: 5799184123
Enrollment ID: I20210604000592
Provider NameMelissa M Glee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336495688
PECOS PAC ID: 8123429149
Enrollment ID: I20210629000939
Provider NameJennifer Hutchison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639796543
PECOS PAC ID: 2466856935
Enrollment ID: I20210805000283
Provider NameMatthew Thomas Van Winkle
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962933390
PECOS PAC ID: 2163797895
Enrollment ID: I20210817003807
Provider NameGregory Burnett
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1679834592
PECOS PAC ID: 5496069239
Enrollment ID: I20210901000598
Provider NameJeanwan Kang
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1134242258
PECOS PAC ID: 6709052699
Enrollment ID: I20211027003393
Provider NameKamel Gharaibeh
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1669769246
PECOS PAC ID: 1658595483
Enrollment ID: I20211110000069
Provider NameIfunanya Kalu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932606753
PECOS PAC ID: 9830595313
Enrollment ID: I20220518000419
Provider NameQieron L Bowie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528670858
PECOS PAC ID: 4789063660
Enrollment ID: I20220623001520
Provider NameGregory Lalonde
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629569587
PECOS PAC ID: 5092063693
Enrollment ID: I20220823003567
Provider NameElvira Nguelewou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780350033
PECOS PAC ID: 7214303767
Enrollment ID: I20230118000333
Provider NameSarah J Meadowcroft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477193209
PECOS PAC ID: 2860820586
Enrollment ID: I20230206001532
Provider NameElizabeth Mccahill
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1003529223
PECOS PAC ID: 4880066596
Enrollment ID: I20230215000051
Provider NameJohn D Flannery
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417488610
PECOS PAC ID: 2860865037
Enrollment ID: I20230309000310
Provider NameChristelle Np Asu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689365702
PECOS PAC ID: 5991167496
Enrollment ID: I20230816000121
Provider NameJoel P Harding
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1457887325
PECOS PAC ID: 2466825740
Enrollment ID: I20230920002866
Provider NameKyoko Sembongi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861157414
PECOS PAC ID: 7416341789
Enrollment ID: I20231116003292
Provider NameAndrew Tully
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1811375983
PECOS PAC ID: 3375837917
Enrollment ID: I20231128000910
Provider NameNeeraj Badjatia
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1851336143
PECOS PAC ID: 0143257345
Enrollment ID: I20231214003576
Provider NameAshkan Katirai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578329124
PECOS PAC ID: 0143762088
Enrollment ID: I20240607000205
Provider NameArmelle Madanje Tchayep
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275163610
PECOS PAC ID: 0749605251
Enrollment ID: I20240614002348

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.