PABLO I HERNANDEZ ITRIAGO MD NPI 1457362931

NPI Information

NPI: 1457362931
Provider Name: PABLO I HERNANDEZ ITRIAGO, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
19 TACOMA ST
WORCESTER, MA
ZIP 01605
Phone: (508) 852-1805
Get Directions

Pablo I Hernandez Itriago, MD is a family medicine in Worcester, MA with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Pablo I Hernandez Itriago, MD NPI is 1457362931. 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:

19 TACOMA ST
WORCESTER, MA
ZIP 01605-516
Phone: (508) 852-1805

The NPI 1457362931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/1/2016.

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	207Q00000X	Family Medicine		219852	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	J28324	OTHER	MASSACHUSETTS	BCBS
2	042485308	OTHER	MASSACHUSETTS	NETWORK HEALTH-GROUP
3	221804	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	PART A-GROUP
4	7674093	OTHER	MASSACHUSETTS	CIGNA
5	Y10141	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	PART B- GROUP
6	A37016	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	PART B
7	I09459	MEDICARE UPIN	MASSACHUSETTS
8	AA16802	OTHER	MASSACHUSETTS	HARVARD PILGRIM
9	0006767	OTHER	MASSACHUSETTS	NHP-GROUP
10	90590	OTHER	MASSACHUSETTS	FALLON SELECT
11	70172	OTHER	MASSACHUSETTS	CMSP
12	1300709	MEDICAID	MASSACHUSETTS
13	Y10141	OTHER	MASSACHUSETTS	BCBS-GROUP
14	97000901	OTHER	MASSACHUSETTS	NETWORK HEALTH
15	0033107	OTHER	MASSACHUSETTS	NHP
16	110090943A	MEDICAID	MASSACHUSETTS
17	I09459	MEDICARE OSCAR/CERTIFICATION	MASSACHUSETTS

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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