STEPHEN M PEZZELLA MD NPI 1770542656

NPI Information

NPI: 1770542656
Provider Name: STEPHEN M PEZZELLA, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
123 SUMMER ST
WORCESTER, MA
ZIP 01608
Phone: (508) 368-3130
Get Directions

Stephen M Pezzella, MD is a cardiovascular disease internal medicine in Worcester, MA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Stephen M Pezzella, MD NPI is 1770542656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

123 SUMMER ST
WORCESTER, MA
ZIP 01608
Phone: (508) 368-3130
Fax: (508) 368-3133

The NPI 1770542656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 2/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	39310	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4366873	OTHER		CIGNA HEALTH PLAN
2	N01759	OTHER		MEDICARE B
3	5030238	OTHER		AETNA US HEALTHCARE
4	N01759	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
5	2070944	MEDICAID	MASSACHUSETTS
6	N01759	OTHER		BLUE SHIELD INDEMNITY
7	26850	OTHER		CHILDRENS MEDICAL SECURIT
8	N01759	OTHER		BLUE CARE ELECT
9	042472266	OTHER		PRIVATE HEALTHCARE SYSTEM
10	060047286	OTHER		RAILROAD MEDICARE
11	042472266	OTHER		ONE HEALTH PLAN
12	784067	OTHER		MVP HEALTH CARE
13	A67186	MEDICARE UPIN
14	042472266	OTHER		HEALTHCARE VALUE MANAGMEN
15	2070944	OTHER		MEDICAID WELFARE
16	AA6084	OTHER		HARVARD PILGRIM HEALTHCAR
17	N01759	OTHER		BLUE SHIELD HMO BLUE
18	26856	OTHER		HEALTHY START
19	918138	OTHER		FIRST HEALTH
20	9900071	OTHER		FALLON COMMUNITY HEALTH P

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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