PINAK B SHAH MD
NPI 1750371480
Internal Medicine - Interventional Cardiology in Boston, MA
NPI Status: Active since October 25, 2005
Contact Information
75 FRANCIS STREET
BOSTON, MA
ZIP 02115
Phone: (857) 307-1986
Fax: (857) 307-1975
- Individual
- Male
- Years of Experience 32
- Internal Medicine
- Interventional Cardiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PINAK SHAH
This page provides the complete NPI Profile along with additional information for Pinak Shah, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in interventional cardiology and more than 32 years of experience. He graduated from Perelman School Of Med At The University Of Pennsylvania in 1994. The healthcare provider is registered in the NPI registry with number 1750371480 assigned on October 2005. The practitioner's primary taxonomy code is 207RI0011X with license number 150869 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1750371480
- Provider Name
- PINAK B SHAH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 75 FRANCIS STREET BOSTON, MA 02115
- Location Phone
- (857) 307-1986
- Location Fax
- (857) 307-1975
- Mailing Address
- 75 FRANCIS ST BOSTON, MA 02115
- Mailing Phone
- (857) 307-1986
- Mailing Fax
- (857) 307-1975
- Medical School Name
- PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2005
- Last Update Date
- 02-21-2013
- Code Navigator
An internist like Pinak Shah is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 150869
- License State
- MA
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 130869 (MA) |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 150869 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G38259 | MEDICARE UPIN (02) | ||
| A30750 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| 3154408 | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
Pinak Shah is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Pinak Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3577593052
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050815000581
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary angioplasty and stenting
Drainage of heart sac using tube and imaging guidance (6 years or older)
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Initial hospital inpatient care per day, typically 50 minutes
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch
Insertion of tube in bypass graft for diagnosis with review by radiologist
Insertion of tube in coronary artery for diagnosis with review by radiologist
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist
Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist
Insertion of tube in right heart chambers for measurement
Leg revascularization (restoring blood flow)
New patient office or other outpatient visit, 60-74 minutes
Placement and subsequent removal of device to protect brain from embolism through catheter using imaging guidance
Repair of mitral valve through the skin, additional prosthesis
Repair of mitral valve through the skin, initial prosthesis
Replacement of aortic valve through the skin and femoral artery
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
Coronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.
This service was performed for 42 patientsThis procedure involves placing a small tube into the sac around your heart to remove excess fluid. It's guided by imaging technology to ensure accuracy. It can relieve pressure on your heart, helping it to function better. It's safe for individuals aged 6 and older.
This service was performed 14 times for 13 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 118 times for 100 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 37 times for 37 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 19 times for 19 patientsThis procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
This service was performed 27 times for 21 patientsThis procedure involves placing a small tube into a bypass graft, which is a vessel used to reroute blood flow. A radiologist, a doctor who specializes in medical imaging, then reviews the images taken to help diagnose any potential issues.
This service was performed 12 times for 12 patientsThis procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
This service was performed 73 times for 72 patientsThis procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
This service was performed 11 times for 11 patientsThis procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.
This service was performed 12 times for 12 patientsThis procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.
This service was performed 16 times for 16 patientsThis procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.
This service was performed 28 times for 28 patientsLeg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
This service was performed for 1-10 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 174 times for 174 patientsThis procedure involves inserting a device through a catheter to shield the brain from harmful blood clots (embolism). The process is monitored using imaging technology. After serving its purpose, the device is carefully removed through the same pathway.
This service was performed 73 times for 73 patientsThis procedure, called a Transcatheter Mitral Valve Repair, involves threading a thin tube through your skin to your heart. A small device is then placed to help your mitral valve function better. This is a less invasive alternative to open-heart surgery.
This service was performed 14 times for 14 patientsThis procedure, known as Transcatheter Mitral Valve Repair (TMVR), involves a small tube inserted through your skin into a blood vessel. A device is then guided to your heart to repair the mitral valve, using an initial prosthesis. This is a less invasive alternative to open-heart surgery.
This service was performed 17 times for 16 patientsThis procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
This service was performed 104 times for 104 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 325 times for 288 patientsThis procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
This service was performed 27 times for 27 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 150 times for 143 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02115 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Pinak Shah is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NEWTON-WELLESLEY HOSPITAL | 2014 WASHINGTON STREET NEWTON, MA 02462 | (617) 243-6000 | Acute Care Hospitals | |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS STREET BOSTON, MA 02115 | (617) 732-5500 | Acute Care Hospitals | |
| FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S | 1153 CENTRE STREET BOSTON, MA 02130 | (617) 983-7000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 7 | 1 | 4 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 7 | 2 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 7 + 2 + 4 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750371480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245238260 | DR. JUDY R MANGION M.D. Individual | Internal Medicine (Cardiovascular Disease) | 75 FRANCIS STREET BOSTON, MA 02115 (857) 307-1960 |
| 1902888589 | AARON DAVID SODICKSON MD Individual | Radiology (Diagnostic Radiology) | 75 FRANCIS STREET RADIOLOGY BRIGHAM & WOMENS HOSPITAL BOSTON, MA 02115 (617) 732-6506 |
| 1366429888 | DR. JANE ELIZABETH BROCK BM. BS. PH.D Individual | Pathology (Anatomic Pathology) | 75 FRANCIS STREET BRIGHAM & WOMEN'S HOSPITAL BOSTON, MA 02115 (617) 732-5710 |
| 1851356869 | WILLIAM RICHARD RODRIGUEZ MD Individual | Internal Medicine (Infectious Disease) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DIVISION OF INFECTIOUS DISE BOSTON, MA 02115 (617) 732-8881 |
| 1508821521 | MARK A RUBIN MD Individual | Pathology (Anatomic Pathology) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF PATHOLOGY BOSTON, MA 02115 (617) 525-6700 |
| 1033175898 | ANTHONY LEADER KOMAROFF MD Individual | Internal Medicine | 75 FRANCIS STREET BRIGHAM INTERNAL MEDICINE ASSOCIATES BOSTON, MA 02115 (617) 432-4714 |
| 1437115185 | PETER MCLAREN BLACK MD PHD Individual | Neurological Surgery | 75 FRANCIS STREET BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF NEUROSURGERY BOSTON, MA 02115 (617) 732-6810 |
| 1780640441 | ELENA HESINA YANUSHPOLSKY MD Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL CENTER FOR REPRODUCTIVE MED BOSTON, MA 02115 (617) 732-4222 |
| 1730145350 | MALCOLM PORTEOUS ROGERS MD Individual | Psychiatry & Neurology (Psychiatry) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF PSYCHIATRY BOSTON, MA 02115 (617) 732-7661 |
| 1942266283 | CHRISTINE K KIM MD Individual | Psychiatry & Neurology (Psychiatry) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DEPT OF PSYCHIATRY BOSTON, MA 02115 (617) 732-6750 |
| 1922064260 | DR. MICHAEL BELKIN MD Individual | Surgery (Vascular Surgery) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL BOSTON, MA 02115 (857) 307-1920 |
| 1255397428 | MILENKO TANASIJEVIC MD MBA Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL CLINICAL LABS BOSTON, MA 02115 (617) 732-6245 |
| 1407812688 | TANIA MARIA FATOVICH MD Individual | Emergency Medicine | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DEPT OF EMERGENCY MEDICINE BOSTON, MA 02115 (617) 732-5640 |
| 1497711691 | PUSHKAL P GARG MD Individual | Internal Medicine | 75 FRANCIS STREET BRIGHAM INTERNAL MEDICINE ASSOCIATES BOSTON, MA 02115 (617) 732-5500 |
| 1922064146 | SUSAN E FARRELL MD Individual | Emergency Medicine | 75 FRANCIS STREET BRIGHAM AND WOMEN'S HOSPITAL DEPARTMENT OF EMERGENCY BOSTON, MA 02115 (617) 732-8010 |
| 1033175278 | COLM C MAGEE MD Individual | Internal Medicine (Nephrology) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL RENAL DIVISION BOSTON, MA 02115 (617) 732-5252 |
| 1083670236 | LAURENCE J KRENIS MD Individual | Anesthesiology | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF ANESTHESIA BOSTON, MA 02115 (617) 732-8210 |
| 1366408411 | JOHN MICHAEL MCWILLIAMS MD Individual | Internal Medicine | 75 FRANCIS STREET BRIGHAM INTERNAL MEDICINE ASSOCIATES BOSTON, MA 02115 (617) 732-6040 |
| 1013974708 | DAVID WESTFALL BATES MD Individual | Internal Medicine | 75 FRANCIS STREET BRIGHAM INTERNAL MEDICINE ASSOCIATES BOSTON, MA 02115 (617) 732-7063 |
| 1093772782 | ROSS STUART BERKOWITZ MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DIVISION OF GYNECOLOGIC ONC BOSTON, MA 02115 (617) 732-8843 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750371480, enumerated in the NPI registry as an "individual" on October 25, 2005
The provider is located at 75 Francis Street Boston, Ma 02115 and the phone number is (857) 307-1986
The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology
The provider has more than 32 years of experience. He graduated from Perelman School Of Med At The University Of Pennsylvania in 1994.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Coronary angioplasty and stenting, Drainage of heart sac using tube and imaging guidance (6 years or older), Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Initial hospital inpatient care per day, typically 50 minutes, Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch, Insertion of tube in bypass graft for diagnosis with review by radiologist, Insertion of tube in coronary artery for diagnosis with review by radiologist, Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist, Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist, Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist, Insertion of tube in right heart chambers for measurement, Leg revascularization (restoring blood flow), New patient office or other outpatient visit, 60-74 minutes, Placement and subsequent removal of device to protect brain from embolism through catheter using imaging guidance, Repair of mitral valve through the skin, additional prosthesis, Repair of mitral valve through the skin, initial prosthesis, Replacement of aortic valve through the skin and femoral artery, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
The practitioner is affiliated to the following hospital(s): NEWTON-WELLESLEY HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL and FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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