| Westside Hospitalist Inc | |
|
1600 S Andrews Ave Fort Lauderdale FL 33316-2510 | |
| (954) 355-4400 | |
| (954) 835-0760 |
| Full Name | Westside Hospitalist Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 1600 S Andrews Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Rohit Uppal (PRESIDENT) |
| Authorized Official Contact | 9548352871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Hospitalist Inc Po Box 635419 Cincinnati OH 45263-5419 Ph: (954) 377-3036 | Westside Hospitalist Inc 1600 S Andrews Ave Fort Lauderdale FL 33316-2510 Ph: (954) 355-4400 |
| NPI Number | 1013022128 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 09/14/2020 |
| Medicare PECOS PAC ID | 0446214282 |
|---|---|
| Medicare Enrollment ID | O20041112000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013022128 | NPI | - | NPPES |
| 025067500 | Medicaid | FL | |
| 98108 | Other | FL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Henry Elias Paez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093790313 PECOS PAC ID: 2062316151 Enrollment ID: I20031120000794 |
| Provider Name | Ketty Maurice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053368043 PECOS PAC ID: 0446143382 Enrollment ID: I20040205000130 |
| Provider Name | Zoilo R Abad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649229568 PECOS PAC ID: 6608837554 Enrollment ID: I20041023000051 |
| Provider Name | Rosa M Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578541058 PECOS PAC ID: 3476517731 Enrollment ID: I20041116000874 |
| Provider Name | Kenneth A Mack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366420754 PECOS PAC ID: 7618931981 Enrollment ID: I20041116000899 |
| Provider Name | Radhabai Kitchappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881672269 PECOS PAC ID: 0244294528 Enrollment ID: I20041116000963 |
| Provider Name | Nalini Devabhaktuni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740268218 PECOS PAC ID: 1951365238 Enrollment ID: I20041116000984 |
| Provider Name | William R Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770567638 PECOS PAC ID: 0547224834 Enrollment ID: I20041116001027 |
| Provider Name | Faiz Fatteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710965298 PECOS PAC ID: 8022061365 Enrollment ID: I20050225000637 |
| Provider Name | Mohammed I Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043209125 PECOS PAC ID: 0244284784 Enrollment ID: I20050309000304 |
| Provider Name | Randall M Taubman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528049194 PECOS PAC ID: 8628069218 Enrollment ID: I20050321000533 |
| Provider Name | Kumar Rajagopalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841267796 PECOS PAC ID: 1850323676 Enrollment ID: I20050901000176 |
| Provider Name | Rehan A Naqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669457081 PECOS PAC ID: 3971529785 Enrollment ID: I20051020000950 |
| Provider Name | Warren M Sturman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124094610 PECOS PAC ID: 5799708467 Enrollment ID: I20060109000496 |
| Provider Name | Laura J Zalcberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730256512 PECOS PAC ID: 3375566995 Enrollment ID: I20060111000322 |
| Provider Name | Carmen A Shirley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821157504 PECOS PAC ID: 0749291417 Enrollment ID: I20060509000569 |
| Provider Name | Adekunle O Bamgboye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306944210 PECOS PAC ID: 6103920293 Enrollment ID: I20070329000324 |
| Provider Name | Keisha A. Goodison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184632424 PECOS PAC ID: 5799881520 Enrollment ID: I20070510000441 |
| Provider Name | Alberto Arturo Palacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326259193 PECOS PAC ID: 1850479122 Enrollment ID: I20080428000249 |
| Provider Name | Rodolfo V Guevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437368552 PECOS PAC ID: 2668547662 Enrollment ID: I20080826000130 |
| Provider Name | Anwer Kashif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730167115 PECOS PAC ID: 6800954173 Enrollment ID: I20081015000687 |
| Provider Name | Francisco J Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295935120 PECOS PAC ID: 7911043005 Enrollment ID: I20091002000288 |
| Provider Name | Mohamed H Gajraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275539447 PECOS PAC ID: 4183701378 Enrollment ID: I20100317000170 |
| Provider Name | Lydia V Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215139381 PECOS PAC ID: 3072649136 Enrollment ID: I20100327000329 |
| Provider Name | Vigarny A Arguello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356326375 PECOS PAC ID: 9739210386 Enrollment ID: I20100626000302 |
| Provider Name | George J Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558583997 PECOS PAC ID: 1850575127 Enrollment ID: I20110411000680 |
| Provider Name | Sergio Arguello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952549719 PECOS PAC ID: 3779762802 Enrollment ID: I20110804000375 |
| Provider Name | Raja Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710128657 PECOS PAC ID: 6103979604 Enrollment ID: I20110913000846 |
| Provider Name | Mohammed Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437310083 PECOS PAC ID: 3173719549 Enrollment ID: I20111111000198 |
| Provider Name | Alka A Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568605038 PECOS PAC ID: 6709050941 Enrollment ID: I20111128000090 |
| Provider Name | Yves M Jodesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093877631 PECOS PAC ID: 1850565854 Enrollment ID: I20111215000838 |
| Provider Name | John C Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295966018 PECOS PAC ID: 1557520582 Enrollment ID: I20120312000582 |
| Provider Name | Olutoyin A Morakinyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669781100 PECOS PAC ID: 9739345802 Enrollment ID: I20120718000664 |
| Provider Name | Gayatri Siram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083858476 PECOS PAC ID: 1759534787 Enrollment ID: I20121226000301 |
| Provider Name | Thomas Osder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700120698 PECOS PAC ID: 3971757048 Enrollment ID: I20130128000051 |
| Provider Name | Nelia Esther Sanchez-crespo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790990851 PECOS PAC ID: 3577650803 Enrollment ID: I20130823000408 |
| Provider Name | Jacqueline M David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689975310 PECOS PAC ID: 1850562547 Enrollment ID: I20130924000807 |
| Provider Name | France T Occy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639513344 PECOS PAC ID: 5092949909 Enrollment ID: I20131009000171 |
| Provider Name | Marjan Vandevar |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1861759862 PECOS PAC ID: 2062645765 Enrollment ID: I20140505000796 |
| Provider Name | Andrew Philip Denicco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609175470 PECOS PAC ID: 0345467775 Enrollment ID: I20140808001036 |
| Provider Name | Jason N Gajraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467758912 PECOS PAC ID: 0244458008 Enrollment ID: I20140820002263 |
| Provider Name | Cassandre Oscar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366794877 PECOS PAC ID: 6507084407 Enrollment ID: I20140905000259 |
| Provider Name | Pallavi Aneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801116231 PECOS PAC ID: 4082808811 Enrollment ID: I20141120001681 |
| Provider Name | Noel Medina Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003207887 PECOS PAC ID: 4688985211 Enrollment ID: I20150623001321 |
| Provider Name | Alvis J Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710386446 PECOS PAC ID: 5193038057 Enrollment ID: I20150721001684 |
| Provider Name | Jose J Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013004886 PECOS PAC ID: 9931291077 Enrollment ID: I20151104000573 |
| Provider Name | Sameer A Phalak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215208285 PECOS PAC ID: 6305146648 Enrollment ID: I20151118001791 |
| Provider Name | Adetola Ajibade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174882906 PECOS PAC ID: 4385949338 Enrollment ID: I20160229002129 |
| Provider Name | Nina T Rivera |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407205214 PECOS PAC ID: 4284921263 Enrollment ID: I20160919001503 |
| Provider Name | Mercedes Angela Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598275349 PECOS PAC ID: 2860745312 Enrollment ID: I20181030002149 |
| Provider Name | Idalberto J Tejeda Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639657471 PECOS PAC ID: 4587902465 Enrollment ID: I20190219002635 |
| Provider Name | Victor I Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508260373 PECOS PAC ID: 8921346776 Enrollment ID: I20190220002863 |
| Provider Name | Jennifer Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033625900 PECOS PAC ID: 5698014843 Enrollment ID: I20190305002610 |
| Provider Name | Shobha K Marigowda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275097727 PECOS PAC ID: 1153662739 Enrollment ID: I20190409000212 |
| Provider Name | Faisal Mohammed Ghaffar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750845152 PECOS PAC ID: 6204162332 Enrollment ID: I20190729000506 |
| Provider Name | Paul Olorunfemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285016956 PECOS PAC ID: 6103153291 Enrollment ID: I20190813000522 |
| Provider Name | Audrea O Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023339355 PECOS PAC ID: 6305009135 Enrollment ID: I20190926002229 |
| Provider Name | Sukhman Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043673494 PECOS PAC ID: 7416294798 Enrollment ID: I20191009000889 |
| Provider Name | Ricardo F Mandarano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780226159 PECOS PAC ID: 4385070986 Enrollment ID: I20200130000094 |
| Provider Name | Yves Jodesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801258140 PECOS PAC ID: 4284973454 Enrollment ID: I20200407002791 |
| Provider Name | Samir Naveed Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790291581 PECOS PAC ID: 6204250103 Enrollment ID: I20200724001797 |
| Provider Name | Sterline Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487289724 PECOS PAC ID: 6507285517 Enrollment ID: I20200924001519 |
| Provider Name | Carlos M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407466774 PECOS PAC ID: 0042622722 Enrollment ID: I20201222002135 |
| Provider Name | Yvette Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275136301 PECOS PAC ID: 2860804556 Enrollment ID: I20201222002520 |
| Provider Name | Shiji Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487290870 PECOS PAC ID: 6800201492 Enrollment ID: I20210211002457 |
| Provider Name | Javier Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637588 PECOS PAC ID: 7618383381 Enrollment ID: I20210303001930 |
| Provider Name | Linda I Hadous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649733965 PECOS PAC ID: 0749681187 Enrollment ID: I20210623001920 |
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