Active NPI 1467676478 Individual Practitioner Male Practitioner

Dr. Mark Stanley Skalski , MD

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Skalski, MD is a certified Internal Medicine practicing in Springfield, MA. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Skalski delivers high-quality medical care to the local community at 305 BICENTENNIAL HWY.

Dr. Skalski is affiliated with Riverbend Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 Bicentennial Hwy

Springfield, MA 011181962

Telephone 4137334101

Fax 4137966821

Associated Practice Facility / Clinic

🏢 Riverbend Medical Group, Inc Facility NPI 1639280779

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +7.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Skalski (28 Years) 28 Yrs

Springfield Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	872	470	$302.93	$129.27
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	360	289	$40.00	$16.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	220	34	$60.00	$23.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$233.15	$131.02
G0008 Administration of influenza virus vaccine	69	67	$49.00	$32.81
90653 Vaccine for influenza for injection into muscle	50	50	$125.26	$81.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	50	38	$150.00	$54.41
93000 Routine ekg using at least 12 leads including interpretation and report	39	36	$80.00	$14.24
99495 Transitional care management services for problem of at least moderate complexity	38	32	$354.61	$209.83
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	35	17	$125.00	$42.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$324.00	$165.69
85610 Blood test, clotting time	22	15	$15.00	$4.20
99443 Telephone medical discussion with physician, 21-30 minutes	15	14	$242.00	$129.47
90661 Influenza vaccine, trivalent derived from cell cultures	11	11	$56.00	$36.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	882	482	$300.00	$129.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	201	46	$60.00	$24.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$219.00	$131.85
G0008 Administration of influenza virus vaccine	88	88	$49.00	$31.47
99443 Telephone medical discussion with physician, 21-30 minutes	86	80	$242.00	$128.72
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	76	76	$74.00	$71.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	54	$150.00	$53.66
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	61	31	$125.00	$42.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$324.00	$168.19
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$80.00	$14.86
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$50.00	$33.24
99495 Transitional care management services for problem of at least moderate complexity	12	12	$350.00	$193.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	776	472	$300.00	$132.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	276	45	$60.00	$24.42
99443 Telephone medical discussion with physician, 21-30 minutes	134	113	$242.00	$133.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	96	96	$324.00	$173.03
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	81	78	$74.00	$70.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$219.00	$135.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	63	48	$150.00	$55.15
G0008 Administration of influenza virus vaccine	55	54	$49.00	$30.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	11	$57.00	$15.01
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	44	24	$125.00	$42.80
93000 Routine ekg using at least 12 leads including interpretation and report	43	42	$80.00	$14.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$350.00	$187.98
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	14	$50.00	$31.52
G0009 Administration of pneumococcal vaccine	13	13	$49.00	$31.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$400.00	$173.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	777	456	$285.82	$135.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	352	70	$55.46	$24.14
99443 Telephone medical discussion with physician, 21-30 minutes	269	206	$242.00	$135.63
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	89	68	$142.31	$55.44
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	60	24	$114.23	$43.20
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	58	58	$74.00	$65.28
93000 Routine ekg using at least 12 leads including interpretation and report	49	47	$80.00	$15.56
G0008 Administration of influenza virus vaccine	35	35	$49.00	$17.89
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	26	26	$48.04	$29.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$347.21	$180.43
99495 Transitional care management services for problem of at least moderate complexity	14	12	$333.71	$215.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	610	390	$249.00	$114.20
99443 Telephone medical discussion with physician, 21-30 minutes	424	310	$239.71	$114.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	156	58	$43.00	$24.60
G0008 Administration of influenza virus vaccine	63	63	$49.00	$17.77
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	56	26	$87.00	$43.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	46	$114.00	$56.17
90662 Influenza vaccine split virus, preservative free	51	51	$91.00	$60.98
G0009 Administration of pneumococcal vaccine	29	29	$49.00	$17.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	14	$57.00	$15.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	27	12	$4.00	$2.01
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$55.56	$18.07
99495 Transitional care management services for problem of at least moderate complexity	25	23	$312.00	$187.63
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	24	24	$33.63	$28.88
90670 Pneumococcal vaccine for injection into muscle	17	17	$305.00	$225.48
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	16	16	$24.00	$15.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$160.00	$119.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	895	448	$249.00	$113.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	124	41	$43.00	$23.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	19	$57.00	$17.57
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	60	18	$4.00	$1.80
93000 Routine ekg using at least 12 leads including interpretation and report	55	52	$50.00	$17.95
G0008 Administration of influenza virus vaccine	46	46	$49.00	$17.42
99495 Transitional care management services for problem of at least moderate complexity	43	36	$312.00	$168.75
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	22	$87.00	$43.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	35	$114.00	$55.63
90662 Influenza vaccine split virus, preservative free	37	37	$73.00	$54.82
G0009 Administration of pneumococcal vaccine	34	34	$49.00	$17.42
80061 Blood test, lipids (cholesterol and triglycerides)	30	30	$49.00	$14.58
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	30	30	$36.00	$26.64
80048 Blood test, basic group of blood chemicals (calcium, total)	26	24	$25.00	$9.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$160.00	$111.30
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$168.00	$77.65
80053 Blood test, comprehensive group of blood chemicals	16	16	$32.00	$11.51
90670 Pneumococcal vaccine for injection into muscle	15	15	$305.00	$208.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	874	489	$249.00	$112.27
80061 Blood test, lipids (cholesterol and triglycerides)	559	405	$49.00	$16.18
80053 Blood test, comprehensive group of blood chemicals	382	331	$32.00	$12.75
83036 Hemoglobin A1C level	347	221	$25.00	$11.75
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	331	257	$17.00	$7.82
80048 Blood test, basic group of blood chemicals (calcium, total)	318	233	$25.00	$10.23
84443 Blood test, thyroid stimulating hormone (TSH)	257	212	$48.00	$20.33
85610 Blood test, clotting time	229	58	$15.00	$4.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	182	59	$43.00	$22.65
82043 Urine microalbumin (protein) level	125	95	$15.00	$7.00
82570 Creatinine level to test for kidney function or muscle injury	123	93	$13.00	$6.26
G0008 Administration of influenza virus vaccine	60	60	$49.00	$21.55
84450 Liver enzyme (sgot), level	57	54	$12.00	$6.26
84460 Liver enzyme (sgpt), level	57	54	$12.00	$6.41
93000 Routine ekg using at least 12 leads including interpretation and report	56	54	$50.00	$17.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	13	$57.00	$21.72
90662 Influenza vaccine split virus, preservative free	54	54	$69.48	$52.30
80307 Testing for presence of drug, by chemistry analyzers	49	39	$82.84	$70.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	45	$21.00	$9.40
99495 Transitional care management services for problem of at least moderate complexity	48	44	$312.00	$171.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	37	$114.00	$56.34
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	17	$87.00	$43.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$352.00	$172.06
G0009 Administration of pneumococcal vaccine	34	34	$49.00	$21.55
G0103 Prostate cancer screening; prostate specific antigen test (psa)	28	28	$37.00	$22.26
83550 Iron binding capacity	27	25	$18.00	$10.57
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	26	26	$35.46	$23.57
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	24	22	$8.00	$4.29
81001 Manual urinalysis test with examination using microscope, automated	24	22	$7.00	$3.84
82607 Cyanocobalamin (vitamin B-12) level	24	21	$35.00	$18.24
82728 Ferritin (blood protein) level	24	22	$28.00	$16.49
84550 Uric acid level, blood	23	22	$10.00	$5.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$138.86	$105.59
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	20	19	$43.00	$20.60
82306 Vitamin d-3 level	19	18	$73.00	$35.82
83735 Magnesium level	18	15	$14.00	$8.10
86803 Hepatitis c antibody measurement	15	15	$23.00	$17.26
90670 Pneumococcal vaccine for injection into muscle	13	13	$284.54	$198.19
83690 Lipase (fat enzyme) level	12	12	$15.00	$8.34
80074 Acute hepatitis panel	11	11	$94.00	$57.63
90756 Vaccine for influenza for injection into muscle	11	11	$34.00	$22.33
86431 Rheumatoid factor level	11	11	$12.00	$6.86
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$168.00	$76.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	916	467	$249.00	$110.54
80061 Blood test, lipids (cholesterol and triglycerides)	543	379	$49.00	$14.73
80048 Blood test, basic group of blood chemicals (calcium, total)	358	242	$25.00	$8.67
80053 Blood test, comprehensive group of blood chemicals	357	297	$32.00	$12.26
83036 Hemoglobin A1C level	354	212	$25.00	$13.05
85610 Blood test, clotting time	323	61	$15.00	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	255	54	$43.00	$21.01
84443 Blood test, thyroid stimulating hormone (TSH)	235	179	$48.00	$22.59
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	234	191	$17.00	$8.69
82043 Urine microalbumin (protein) level	171	121	$15.00	$7.26
82570 Creatinine level to test for kidney function or muscle injury	166	119	$13.00	$6.96
G0008 Administration of influenza virus vaccine	86	85	$49.00	$26.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	73	69	$21.00	$10.45
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	72	24	$87.00	$43.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	55	46	$114.00	$55.07
Q2039 Influenza virus vaccine, not otherwise specified	52	52	$32.00	$22.21
80307 Testing for presence of drug, by chemistry analyzers	52	48	$101.00	$62.85
93000 Routine ekg using at least 12 leads including interpretation and report	46	45	$50.00	$17.64
82607 Cyanocobalamin (vitamin B-12) level	44	36	$35.00	$20.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	16	$57.00	$26.84
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	15	$4.00	$2.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$219.00	$119.76
90662 Influenza vaccine split virus, preservative free	36	36	$63.00	$48.05
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	35	35	$8.00	$4.77
81001 Manual urinalysis test with examination using microscope, automated	33	30	$7.00	$4.26
G0009 Administration of pneumococcal vaccine	32	32	$49.00	$27.47
82306 Vitamin d-3 level	30	26	$73.00	$39.80
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$168.00	$75.44
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	27	25	$43.00	$19.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$352.00	$162.65
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$37.00	$24.73
84550 Uric acid level, blood	24	22	$10.00	$4.73
84460 Liver enzyme (sgpt), level	24	24	$12.00	$3.07
84450 Liver enzyme (sgot), level	24	24	$12.00	$3.07
86780 Analysis for antibody, treponema pallidum	23	21	$32.00	$17.80
83735 Magnesium level	22	20	$14.00	$9.01
80076 Liver function blood test panel	21	21	$18.00	$7.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$129.00	$94.93
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	18	18	$25.00	$15.63
80074 Acute hepatitis panel	17	15	$94.00	$55.78
86431 Rheumatoid factor level	16	16	$12.00	$7.62
99496 Transitional care management services for problem of high complexity	16	12	$613.00	$238.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$324.00	$176.33
90670 Pneumococcal vaccine for injection into muscle	15	15	$267.00	$183.49
87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique	14	12	$80.00	$35.03
87591 Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria)	14	12	$80.00	$35.03
83550 Iron binding capacity	13	13	$18.00	$11.75
99495 Transitional care management services for problem of at least moderate complexity	12	12	$312.00	$169.08

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 234168

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02272273 (NY)

Medicaid State Provider ID

2147581 (MA)

Commercial Insurance / Payer ID Ghi

2593482 (NY)

Hospital & Practice Group Affiliations

Riverbend Medical Group Inc

305 Bicentennial Hwy, Springfield, MA 011181962

Phone: 4137334101

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Robert Kaplan , MD

Physical Medicine & Rehabilitation

NPI 1053381962

Doctor of Medicine (M.D.)

Dr. Jean Talati , MD

Obstetrics & Gynecology

NPI 1073562831

Doctor of Medicine (M.D.)

Melissa Novak , PA

Physician Assistant - Medical

NPI 1114257870

Physician Assistant

Karen Bourgeault , PA-C

Physician Assistant

NPI 1134184179

Physician Assistant (Certified)

Dr. Alison Wondriska , MD

Pediatrics

NPI 1144285800

Doctor of Medicine (M.D.)

Dr. Kirti Kodali , MD

Pediatrics

NPI 1154385656

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 April 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2011

Registered at 305 BICENTENNIAL HWY, SPRINGFIELD, MA 011181962 (Tel: 4137334101)

📍

Updated Business Mailing Address April 28, 2011

Registered at 305 BICENTENNIAL HWY, SPRINGFIELD, MA 011181962 (Tel: 4137334101)

👤

Provider Name / Credentials Updated April 28, 2011

Recorded as MARK SKALSKI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2011

Internal Medicine (License #234168 in MA)

🟢

Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467676478

Entity Type:

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

Enumeration Date: April 12, 2007

Last Update: April 28, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

305 Bicentennial Hwy

Springfield, MA 011181962

Phone: 4137334101

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.