Active NPI 1376533117 Individual Practitioner Male Practitioner

Dr. Michael J Germain , MD

Internal Medicine - Nephrology • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Germain, MD is a registered healthcare professional specializing in Internal Medicine - Nephrology in Springfield, MA. Practice services are available at 100 WASON AVE under active NPI credentials.

Frequently performed procedures and clinical services include injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units, established patient outpatient office visit, blood count, hemoglobin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Wason Ave
Suite 200

Springfield, MA 011071119

Telephone 4137339666

Fax 4137503432

Associated Practice Facility / Clinic

🏢 Western New England Renal And Transplant Associates, P.c. Facility NPI 1639160161

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Springfield, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.2 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

17 Specialists

Practicing in Springfield, MA (433 Statewide)

Telehealth Adoption Rate

29.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	540	18	$25.30	$7.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	226	$289.29	$128.96
85018 Blood count, hemoglobin	56	33	$10.00	$2.32
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$192.48	$92.36
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	36	13	$55.00	$49.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	23	$67.23	$14.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$441.21	$169.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$287.46	$114.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	23,970	39	$4.21	$0.79
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	3,940	50	$25.30	$8.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	818	317	$205.02	$72.41
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	811	22	$27.30	$8.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	609	357	$289.29	$131.76
85018 Blood count, hemoglobin	228	59	$10.00	$2.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	195	59	$67.16	$14.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	160	154	$375.75	$137.28
90935 Hemodialysis procedure with physician evaluation	147	74	$205.65	$74.11
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	135	30	$703.11	$306.08
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	77	28	$872.85	$367.55
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	62	44	$224.17	$71.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	34	$293.49	$104.05
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	54	12	$68.00	$58.31
99496 Transitional care management services for problem of high complexity	53	45	$596.90	$289.82
99213 Established patient office or other outpatient visit, typically 15 minutes	51	46	$192.48	$92.61
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	40	16	$55.00	$51.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$441.21	$173.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	19	$114.00	$35.07
76775 Limited ultrasound scan behind abdominal cavity	23	23	$358.29	$61.85
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	23	14	$43.00	$41.60
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	19	19	$19.00	$18.86
90962 Dialysis services, 1 physician visit per month (20 years or older)	18	14	$507.06	$210.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$287.46	$116.41
93050 Analysis of pressure of upper limb artery with interpretation and report	13	13	$63.73	$16.72
99495 Transitional care management services for problem of at least moderate complexity	12	12	$423.38	$215.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	20,400	28	$2.48	$0.94
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	5,040	49	$25.30	$8.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	729	289	$205.02	$73.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	645	363	$289.29	$133.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	199	189	$375.75	$139.59
85018 Blood count, hemoglobin	192	53	$10.00	$2.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	179	54	$67.23	$14.68
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	128	26	$703.11	$309.12
90935 Hemodialysis procedure with physician evaluation	111	68	$205.65	$75.25
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$192.48	$94.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	28	$114.00	$39.41
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	47	22	$872.85	$373.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$441.21	$172.28
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	44	31	$223.74	$75.99
90945 Dialysis procedure including 1 evaluation	36	13	$213.39	$89.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	14	$293.49	$106.07
90962 Dialysis services, 1 physician visit per month (20 years or older)	23	18	$507.06	$212.09
99496 Transitional care management services for problem of high complexity	20	16	$596.90	$292.38
76775 Limited ultrasound scan behind abdominal cavity	19	19	$358.29	$62.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$389.67	$183.67
36415 Insertion of needle into vein for collection of blood sample	14	12	$9.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	39,015	51	$2.48	$1.03
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	4,560	60	$27.30	$9.77
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,370	32	$25.47	$8.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	788	326	$205.02	$75.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	734	379	$289.29	$113.16
85018 Blood count, hemoglobin	300	69	$10.00	$2.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	217	64	$67.23	$15.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	208	190	$375.75	$143.92
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	180	36	$872.85	$298.89
90935 Hemodialysis procedure with physician evaluation	138	73	$205.65	$76.89
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	91	34	$700.37	$252.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	46	$114.00	$41.14
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	77	51	$223.74	$76.13
90945 Dialysis procedure including 1 evaluation	52	16	$213.39	$90.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$441.21	$171.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	27	$289.29	$82.57
36415 Insertion of needle into vein for collection of blood sample	29	24	$9.00	$2.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	13	$293.49	$108.57
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$192.48	$77.90
99496 Transitional care management services for problem of high complexity	22	19	$581.13	$257.13
76775 Limited ultrasound scan behind abdominal cavity	21	21	$358.29	$62.48
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	13	13	$177.30	$41.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	27,540	40	$2.48	$0.97
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	3,290	62	$27.30	$11.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,031	373	$205.02	$75.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	580	322	$289.29	$112.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	299	261	$375.75	$141.70
90935 Hemodialysis procedure with physician evaluation	200	97	$205.65	$75.85
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	183	48	$872.85	$294.85
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	152	52	$703.11	$247.99
85018 Blood count, hemoglobin	147	65	$10.00	$2.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	103	53	$67.23	$17.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	56	$289.29	$80.90
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	79	50	$223.74	$76.09
93050 Analysis of pressure of upper limb artery with interpretation and report	70	50	$63.73	$17.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	29	$114.00	$40.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	22	$293.49	$107.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$441.21	$167.88
90945 Dialysis procedure including 1 evaluation	39	15	$213.39	$88.95
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	21	18	$177.30	$41.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$553.05	$209.19
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$712.92	$89.74
90962 Dialysis services, 1 physician visit per month (20 years or older)	14	11	$507.06	$191.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	26,010	45	$2.48	$0.94
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	9,417	105	$27.30	$12.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	928	360	$205.02	$75.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	628	339	$289.29	$111.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	329	104	$67.23	$21.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	277	242	$375.75	$141.51
85018 Blood count, hemoglobin	272	96	$10.00	$2.87
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	251	41	$872.85	$293.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	86	$289.29	$81.01
93050 Analysis of pressure of upper limb artery with interpretation and report	132	89	$63.73	$17.50
90935 Hemodialysis procedure with physician evaluation	131	86	$205.65	$75.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	130	61	$114.70	$40.69
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	114	42	$703.11	$247.67
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	59	47	$223.74	$77.52
36415 Insertion of needle into vein for collection of blood sample	56	52	$9.00	$2.94
84520 Urea nitrogen level to assess kidney function	45	45	$16.53	$4.78
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	45	45	$29.40	$8.49
82310 Calcium level, total	45	45	$21.60	$6.24
82565 Blood creatinine level	45	45	$21.48	$6.20
84100 Phosphate level	45	45	$19.89	$5.73
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	43	42	$32.58	$9.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$441.21	$172.19
83970 Parathormone (parathyroid hormone) level	38	38	$173.01	$49.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	32	$60.03	$22.97
82306 Vitamin d-3 level	34	34	$124.08	$35.82
82570 Creatinine level to test for kidney function or muscle injury	33	32	$21.69	$6.26
81001 Manual urinalysis test with examination using microscope, automated	28	28	$13.29	$3.84
83735 Magnesium level	28	28	$28.08	$8.10
82040 Albumin (protein) level	26	26	$20.76	$5.99
82043 Urine microalbumin (protein) level	23	23	$22.68	$7.00
84550 Uric acid level, blood	21	21	$18.93	$5.47
82947 Blood glucose (sugar) level	19	19	$16.44	$4.75
90962 Dialysis services, 1 physician visit per month (20 years or older)	19	12	$507.06	$191.87
80061 Blood test, lipids (cholesterol and triglycerides)	18	18	$56.16	$16.20
82728 Ferritin (blood protein) level	18	18	$57.09	$16.49
82550 Creatine kinase (cardiac enzyme) level, total	18	18	$27.30	$7.88
83540 Iron level	17	17	$27.15	$7.83
83550 Iron binding capacity	16	16	$36.63	$10.57
84156 Total protein level, urine	15	15	$15.36	$4.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$441.21	$134.54
76775 Limited ultrasound scan behind abdominal cavity	15	14	$358.29	$57.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	18,870	33	$2.48	$0.86
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	13,644	170	$27.30	$13.17
36415 Insertion of needle into vein for collection of blood sample	854	371	$9.00	$2.93
82565 Blood creatinine level	759	362	$21.48	$2.05
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	757	362	$29.40	$2.79
84520 Urea nitrogen level to assess kidney function	756	362	$16.53	$1.56
84100 Phosphate level	754	362	$19.89	$1.88
82310 Calcium level, total	754	362	$21.60	$2.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	726	422	$289.29	$105.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	676	299	$205.02	$70.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	675	333	$32.58	$10.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	629	172	$67.23	$25.31
83970 Parathormone (parathyroid hormone) level	523	304	$173.01	$55.28
82570 Creatinine level to test for kidney function or muscle injury	500	306	$21.69	$6.95
82306 Vitamin d-3 level	489	284	$124.08	$39.64
81001 Manual urinalysis test with examination using microscope, automated	470	299	$13.29	$4.24
85018 Blood count, hemoglobin	430	137	$10.00	$3.17
83735 Magnesium level	418	249	$28.08	$8.99
82728 Ferritin (blood protein) level	392	211	$57.09	$18.24
83540 Iron level	385	211	$27.15	$8.65
83550 Iron binding capacity	383	211	$36.63	$11.69
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	366	71	$872.85	$275.56
82040 Albumin (protein) level	335	224	$20.76	$2.03
82043 Urine microalbumin (protein) level	307	219	$22.68	$7.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	291	252	$375.75	$132.80
84550 Uric acid level, blood	282	184	$18.93	$1.93
80061 Blood test, lipids (cholesterol and triglycerides)	268	205	$56.16	$6.23
82947 Blood glucose (sugar) level	257	127	$16.44	$1.32
82550 Creatine kinase (cardiac enzyme) level, total	242	121	$27.30	$2.15
83036 Hemoglobin A1C level	232	183	$40.68	$12.99
84156 Total protein level, urine	223	132	$15.36	$4.91
90935 Hemodialysis procedure with physician evaluation	180	107	$205.65	$70.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	151	76	$114.00	$37.91
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	133	60	$702.77	$231.69
82247 Bilirubin level	98	68	$21.06	$1.60
84460 Liver enzyme (sgpt), level	97	67	$22.20	$1.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$441.21	$158.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	72	53	$60.03	$20.02
84075 Phosphatase (enzyme) level, alkaline	69	40	$21.69	$1.49
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	69	43	$223.74	$68.35
84450 Liver enzyme (sgot), level	68	39	$21.66	$1.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	23	$285.31	$76.29
82575 Creatinine clearance measurement to test for kidney function	34	34	$39.60	$12.71
84439 Thyroxine (thyroid chemical), free	32	24	$37.80	$12.12
84443 Blood test, thyroid stimulating hormone (TSH)	32	24	$70.41	$22.59
76775 Limited ultrasound scan behind abdominal cavity	31	31	$358.29	$57.52
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	29	20	$27.12	$8.69
84545 Urea nitrogen level to assess kidney function, clearance	25	25	$27.69	$8.89
93050 Analysis of pressure of upper limb artery with interpretation and report	23	22	$63.73	$17.45
90962 Dialysis services, 1 physician visit per month (20 years or older)	22	19	$507.06	$178.75
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$192.48	$68.64
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$80.94	$52.21
86706 Hepatitis b surface antibody measurement	15	15	$43.83	$14.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$389.67	$142.11
50200 Needle biopsy of kidney	14	14	$525.00	$128.41
90740 Vaccine for hepatitis b (3 dose schedule) for injection into muscle, dialysis or immunosuppressed patient	14	14	$358.26	$120.75
G0010 Administration of hepatitis b vaccine	14	14	$70.00	$28.66
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$598.32	$31.58
82607 Cyanocobalamin (vitamin B-12) level	14	13	$62.73	$20.11

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License MA 78857

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License CT 035668

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003087906 (CT)

Medicaid State Provider ID

30206682 (NH)

Medicaid State Provider ID

0144215 (MA)

Medicaid State Provider ID

1004921 (VT)

Medicaid State Provider ID

02492464 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Emily Lewis , RD

Dietitian, Registered

NPI 1043200108

Registered Dietitian

Melanie Barbosa , PA-C

Physician Assistant

NPI 1104579267

Physician Assistant (Certified)

Dr. Dennis Dicampli , MD

Internal Medicine - Nephrology

NPI 1215034723

Doctor of Medicine (M.D.)

Dr. Barbara Greco , MD

Internal Medicine - Nephrology

NPI 1366428682

Doctor of Medicine (M.D.)

Dr. Krishnan Babu , MD

Internal Medicine - Nephrology

NPI 1396725487

Doctor of Medicine (M.D.)

Dr. Stephen Sweet , MD

Internal Medicine - Nephrology

NPI 1528059003

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2014

Registered at 100 WASON AVE, SUITE 200, SPRINGFIELD, MA 011071119 (Tel: 4137339666)

📍

Updated Business Mailing Address March 05, 2014

Registered at PO BOX 70266, SPRINGFIELD, MA 011071577 (Tel: 4137886530)

👤

Provider Name / Credentials Updated March 05, 2014

Recorded as MICHAEL GERMAIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2014

Internal Medicine (License #78857 in MA)

🟢

Initial NPI Registration & Enumeration October 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1376533117

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2005

Last Update: March 05, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 70266

Springfield, MA 011071577

Phone: 4137886530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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