Northern Nevada Medical Group, Llc - Medicare Primary Care in Sparks, NV

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Northern Nevada Medical Group, Llc is a medicare enrolled primary clinic (Family Medicine) in Sparks, Nevada. The current practice location for Northern Nevada Medical Group, Llc is 2345 E Prater Way, Suite 207, Sparks, Nevada. For appointments, you can reach them via phone at (775) 352-5300. The mailing address for Northern Nevada Medical Group, Llc is 2345 E Prater Way Ste 207, Sparks, Nevada and phone number is (775) 356-9393.

Northern Nevada Medical Group, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1972751618. 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 (775) 352-5300.

Contact Information

Northern Nevada Medical Group, Llc
2345 E Prater Way
Suite 207
Sparks
NV 89434-9600
(775) 352-5300
(775) 352-5334

Map and Direction


Primary Care Clinic Profile

Full NameNorthern Nevada Medical Group, Llc
SpecialityFamily Medicine
Location2345 E Prater Way, Sparks, Nevada
Authorized Official Name and PositionTodd Evans (VP)
Authorized Official Contact6107683300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northern Nevada Medical Group, Llc
2345 E Prater Way Ste 207
Sparks
NV 89434-9600

Ph: (775) 356-9393		Northern Nevada Medical Group, Llc
2345 E Prater Way
Suite 207
Sparks
NV 89434-9600

Ph: (775) 352-5300

NPI Details:

NPI Number1972751618
Provider Enumeration Date09/06/2008
Last Update Date08/17/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7214093020
Medicare Enrollment IDO20090303000483

Medical Identifiers

Medical identifiers for Northern Nevada Medical Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972751618NPI-NPPES
DO8810OtherNVRR MEDICARE
1972751618MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northern Nevada Medical Group, Llc acts as a billing entity for following providers:
Provider NameChristina A Szot
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1326023755
PECOS PAC ID: 1456253194
Enrollment ID: I20040123000262
Provider NameDouglas Vacek
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1790758332
PECOS PAC ID: 1153220868
Enrollment ID: I20040226000872
Provider NameKosta M Arger
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1164414215
PECOS PAC ID: 5294625497
Enrollment ID: I20040319000786
Provider NameLynda L Molloy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063499440
PECOS PAC ID: 7315938479
Enrollment ID: I20040519000516
Provider NameSanjeev Bakshi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1194709956
PECOS PAC ID: 9133110075
Enrollment ID: I20040520000294
Provider NameTibor J Toplenszky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427022979
PECOS PAC ID: 8426021668
Enrollment ID: I20040817000196
Provider NameJoseph J Teichgraeber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023070091
PECOS PAC ID: 7113919689
Enrollment ID: I20040823000595
Provider NameEric M Drummer
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1932191525
PECOS PAC ID: 6709832454
Enrollment ID: I20050324001058
Provider NameTimothy M Mooney
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1891716478
PECOS PAC ID: 2961433685
Enrollment ID: I20050824000188
Provider NameKevin A Linkus
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1871565747
PECOS PAC ID: 2466357983
Enrollment ID: I20050920000930
Provider NameKimberly T Cowen
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1609859925
PECOS PAC ID: 6901802818
Enrollment ID: I20061017000604
Provider NameJohn M Watson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366460347
PECOS PAC ID: 6608874144
Enrollment ID: I20061117000185
Provider NameTodd F Inman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659324374
PECOS PAC ID: 9234138413
Enrollment ID: I20070103000565
Provider NameAndreia R Pop
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174544787
PECOS PAC ID: 7214934611
Enrollment ID: I20070105000296
Provider NameLetitia L Anderson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700946019
PECOS PAC ID: 0345340816
Enrollment ID: I20070712000607
Provider NameThomas M Nylk
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700869708
PECOS PAC ID: 2264523703
Enrollment ID: I20070816000132
Provider NameMichael J Murray
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699874123
PECOS PAC ID: 0648368852
Enrollment ID: I20071121000315
Provider NameNayab M Zafar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1497798813
PECOS PAC ID: 6709776560
Enrollment ID: I20081030000649
Provider NameDenver Miller
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1326059254
PECOS PAC ID: 1153375712
Enrollment ID: I20090303000537
Provider NameWarren P Thai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902923451
PECOS PAC ID: 5991850604
Enrollment ID: I20090902000149
Provider NameBrandi M Kindig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508983982
PECOS PAC ID: 1557416724
Enrollment ID: I20090911000547
Provider NameRobert D Dalrymple
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275659989
PECOS PAC ID: 1951457449
Enrollment ID: I20090924000625
Provider NameEric Francis Herzog
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295795177
PECOS PAC ID: 0547453052
Enrollment ID: I20101015001155
Provider NameJudd E Anders
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1750581559
PECOS PAC ID: 4880723287
Enrollment ID: I20101102001263
Provider NameAmber L Hayes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699975490
PECOS PAC ID: 6204018534
Enrollment ID: I20110308000849
Provider NameAyodele O Okunola
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1124290317
PECOS PAC ID: 6608046974
Enrollment ID: I20110823000881
Provider NameKatharina C Mahadeva
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184740698
PECOS PAC ID: 5597935528
Enrollment ID: I20110831000421
Provider NameStefan G Humphries
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1346249315
PECOS PAC ID: 0446213771
Enrollment ID: I20120607000573
Provider NamePenny L Bartel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427335843
PECOS PAC ID: 9830353697
Enrollment ID: I20120607000658
Provider NameCharlene A Letchford
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1427042118
PECOS PAC ID: 3678665171
Enrollment ID: I20120618000324
Provider NameThomas N Truong
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1033257514
PECOS PAC ID: 0143476143
Enrollment ID: I20120807000634
Provider NameMichael P Obrien
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598907453
PECOS PAC ID: 0143476697
Enrollment ID: I20120816000058
Provider NameSarah J Teixeira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770803835
PECOS PAC ID: 6103071279
Enrollment ID: I20130222000144
Provider NameIrene Lambiris
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1821309014
PECOS PAC ID: 3173766151
Enrollment ID: I20130821001060
Provider NameDiana Cheng
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558685396
PECOS PAC ID: 8224262811
Enrollment ID: I20131021000795
Provider NameAmanda R Magrini
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760706519
PECOS PAC ID: 0547496697
Enrollment ID: I20131119000884
Provider NameOluwatoyin Weaver
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881855526
PECOS PAC ID: 7517139397
Enrollment ID: I20140120000382
Provider NameJennifer A Unruh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992138721
PECOS PAC ID: 5294964615
Enrollment ID: I20140206000363
Provider NameMegan Burchfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629350228
PECOS PAC ID: 4183854680
Enrollment ID: I20140303000048
Provider NameMolly M Torvinen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942599055
PECOS PAC ID: 6204068810
Enrollment ID: I20140722002251
Provider NameMichael Arthur Poulin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306265723
PECOS PAC ID: 4981820693
Enrollment ID: I20140731002439
Provider NameMargaret Denton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447251756
PECOS PAC ID: 6002857729
Enrollment ID: I20141007001701
Provider NameOlumide Olagunju
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1285958884
PECOS PAC ID: 2365685757
Enrollment ID: I20150506001683
Provider NameYi Zheng
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497017784
PECOS PAC ID: 9638395502
Enrollment ID: I20150804005662
Provider NameJennifer A Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548612526
PECOS PAC ID: 6608163555
Enrollment ID: I20160921001327
Provider NameJonathan Rhee
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1689838542
PECOS PAC ID: 0042481590
Enrollment ID: I20161010002206
Provider NameKyle Hirsh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356778161
PECOS PAC ID: 4981823580
Enrollment ID: I20170118002594
Provider NameBogdan Sima
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1912181017
PECOS PAC ID: 2062574197
Enrollment ID: I20170612000939
Provider NameJayson Weir
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1518257138
PECOS PAC ID: 2163647355
Enrollment ID: I20170824003504
Provider NameVivian L Cayabyab
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780183129
PECOS PAC ID: 1355605353
Enrollment ID: I20180427000271
Provider NameMiguel Angel Villagra-diaz
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1609006410
PECOS PAC ID: 2769639673
Enrollment ID: I20180920002679
Provider NameChinomso Mordi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1740501485
PECOS PAC ID: 4587806625
Enrollment ID: I20181119002504
Provider NameJames Aaron Mclennan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487004511
PECOS PAC ID: 4880951524
Enrollment ID: I20190808001725
Provider NameSarah J Hand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801258595
PECOS PAC ID: 4183910979
Enrollment ID: I20190828000394
Provider NamePreston Lee Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801453030
PECOS PAC ID: 9739419391
Enrollment ID: I20190924002708
Provider NameWaddy Osvaldo Gonzalez Diaz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1851636294
PECOS PAC ID: 0345570875
Enrollment ID: I20190926001783
Provider NameAdiofel Mark F Mendoza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144631623
PECOS PAC ID: 1951679414
Enrollment ID: I20200131000024
Provider NameJohn Leogite
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740655216
PECOS PAC ID: 9032548672
Enrollment ID: I20200402003786
Provider NameAhmad F Badery
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1386744266
PECOS PAC ID: 2163456831
Enrollment ID: I20200417001400
Provider NameMeenakshi Kalathil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639125677
PECOS PAC ID: 4284738543
Enrollment ID: I20200501002091
Provider NameAbhinaya Rao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831622059
PECOS PAC ID: 3375816259
Enrollment ID: I20200604001585
Provider NameArshavir Artashesyan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912439191
PECOS PAC ID: 2860732583
Enrollment ID: I20200709001014
Provider NameJessica Marie Scott
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1861832727
PECOS PAC ID: 6204144298
Enrollment ID: I20200717001577
Provider NameJoshua H Wood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033571617
PECOS PAC ID: 6901195601
Enrollment ID: I20200728000468
Provider NameKaylie M Humphreys
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528676426
PECOS PAC ID: 3375969637
Enrollment ID: I20200817003205
Provider NameWilliam Valcheck
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1609397413
PECOS PAC ID: 8527491018
Enrollment ID: I20200903002440
Provider NameJocelyn Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184232951
PECOS PAC ID: 0244658946
Enrollment ID: I20200911002356
Provider NameHyun Rae Song
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1437504560
PECOS PAC ID: 3375888449
Enrollment ID: I20200915002646
Provider NameJamie P Ucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174116735
PECOS PAC ID: 3870900525
Enrollment ID: I20210325001740
Provider NameRyan James Bristol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013597756
PECOS PAC ID: 7012310246
Enrollment ID: I20210727000306
Provider NameRyan J Kasky
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073018958
PECOS PAC ID: 7517210776
Enrollment ID: I20210824003172
Provider NamePatricia G Tu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750875332
PECOS PAC ID: 9335471432
Enrollment ID: I20210825000279
Provider NameMisty T Kasky
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124525266
PECOS PAC ID: 1254689623
Enrollment ID: I20210826000677
Provider NameJane M Ohde
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164805560
PECOS PAC ID: 4183927254
Enrollment ID: I20210907000828
Provider NameSai Narala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659876282
PECOS PAC ID: 2163774530
Enrollment ID: I20211203002119
Provider NameJustin Bumgardner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508361007
PECOS PAC ID: 8022360155
Enrollment ID: I20211228002074
Provider NameAshanga Bandara Yatawatta
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1316298367
PECOS PAC ID: 7810240744
Enrollment ID: I20220106001015
Provider NameJuan F Rodriguez Reyes
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1215147913
PECOS PAC ID: 7618093485
Enrollment ID: I20220317002326
Provider NameSteven C Jarzembowski
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1760809875
PECOS PAC ID: 8729380530
Enrollment ID: I20220318002289
Provider NameTheodore C Pratt
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1013954080
PECOS PAC ID: 7911056023
Enrollment ID: I20220318002325
Provider NameJordan Wu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972090173
PECOS PAC ID: 9931444916
Enrollment ID: I20220817002322
Provider NameSherrod P Shiveley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902990948
PECOS PAC ID: 6608773064
Enrollment ID: I20220817003410
Provider NameJames Curtis Ainsworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295471563
PECOS PAC ID: 3678957032
Enrollment ID: I20220902000687
Provider NameMohammad Ikram Khan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1780145631
PECOS PAC ID: 1759714728
Enrollment ID: I20220915001966
Provider NameKhushwant Mangat
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1932661576
PECOS PAC ID: 8729313499
Enrollment ID: I20220915002859
Provider NameDarsham Gonzalez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1235346115
PECOS PAC ID: 1052472701
Enrollment ID: I20220922002921
Provider NameKonstantin Roman Malley
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1932661105
PECOS PAC ID: 5395076988
Enrollment ID: I20221017002267
Provider NameHanzy Bustamante
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508828641
PECOS PAC ID: 5496786691
Enrollment ID: I20221118001527
Provider NameGunjot Kaur
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1881155711
PECOS PAC ID: 7810224730
Enrollment ID: I20221130001669
Provider NameGeorge Manuel Lu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1376073023
PECOS PAC ID: 7315360922
Enrollment ID: I20221215001964
Provider NameAndrea J Sanford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659935294
PECOS PAC ID: 5294168134
Enrollment ID: I20221222001466
Provider NameDennis M Termulo
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1336321488
PECOS PAC ID: 4183776735
Enrollment ID: I20230216002344
Provider NameBradley S Chotiner
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1962469528
PECOS PAC ID: 8921057233
Enrollment ID: I20230406001395
Provider NameStephanie L Rogers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902337462
PECOS PAC ID: 4385918994
Enrollment ID: I20230410000462
Provider NameAlexander Meyer
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1639533359
PECOS PAC ID: 2264715937
Enrollment ID: I20230612000228
Provider NameSatwant Mangat
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1386265726
PECOS PAC ID: 8123449055
Enrollment ID: I20230811002949
Provider NameTimothy T Grunert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073073698
PECOS PAC ID: 8224461165
Enrollment ID: I20230829004087
Provider NameRamanathan Veerappan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154958882
PECOS PAC ID: 7517321540
Enrollment ID: I20230911000333
Provider NameMaria Ahmad
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1033747571
PECOS PAC ID: 2860805892
Enrollment ID: I20230918001082
Provider NameIbrahim Quadri
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1164050332
PECOS PAC ID: 3678994423
Enrollment ID: I20230921003295
Provider NameChelsea A Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194507855
PECOS PAC ID: 1456794650
Enrollment ID: I20240205002127
Provider NameKalin G Hueftle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285493544
PECOS PAC ID: 7618410242
Enrollment ID: I20240624001404
Provider NameRebecca N Otto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063271146
PECOS PAC ID: 5890232284
Enrollment ID: I20240802001930
Provider NameJason D Buchwald
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285675439
PECOS PAC ID: 1951215599
Enrollment ID: I20241028001313
Provider NameEmad Mogadam
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1639520133
PECOS PAC ID: 2769877307
Enrollment ID: I20241028003862
Provider NameVivian Okirie
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1568968501
PECOS PAC ID: 9931505625
Enrollment ID: I20241029000835

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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.