Jorge Vallecillo (NPI# 1538262837, PAC ID# 0840451274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1538262837 |
| PAC ID by PECOS | 0840451274 |
| Professional Enrollment ID | I20120412000071 |
| Full Name | Jorge Vallecillo |
| Address |
4000 Annapolis Rd Suite 204 Halethorpe MD 21227-3618 |
| Phone Number | 4107891084 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210034 | MEDSTAR HARBOR HOSPITAL |
| 210011 | SAINT AGNES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4000 Annapolis Rd, Suite 204, Halethorpe, MD 21227-3618 | 4107891084 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
4000 ANNAPOLIS RD SUITE 204 |
| City | HALETHORPE |
| State | MD |
| Zip | 21227-3618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anwar Mumtaz | Otolaryngology | 4000 Annapolis Rd, Suite 202, Baltimore, MD 21227-3655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey N Posner | Nephrology | Mid-atlantic Nephrology Associates Pa | 1589 Sulpher Spring Rd, Suite 109, Baltimore, MD 21227 |
| Robert Fuld | Nephrology | Mid-atlantic Nephrology Associates Pa | 1589 Sulpher Spring Rd, Suite 109, Baltimore, MD 21227 |
| Dale M Gomez | Physician Assistant | Mid-atlantic Nephrology Associates Pa | 1589 Sulpher Spring Rd, Suite 109, Baltimore, MD 21227 |
| Juliette A Bernis | Nurse Practitioner | Mid-atlantic Nephrology Associates Pa | 1589 Sulpher Spring Rd, Baltimore, MD 21227 |
| Heather C Spoon | Nurse Practitioner | Mid-atlantic Nephrology Associates Pa | 1589 Sulpher Spring Rd, Suite 109, Baltimore, MD 21227 |
| Ira Mandell | Nephrology | Mid-atlantic Nephrology Associates Pa | 1589 Sulpher Spring Rd, Baltimore, MD 21227 |
| Kabrima Y Petty | Nurse Practitioner | American Current Care Pa | 1419 Knecht Ave, Baltimore, MD 21227-1415 |
| Tianna Bynum | Nurse Practitioner | American Current Care Pa | 1419 Knecht Ave, Baltimore, MD 21227-1415 |
| Jeffrey Hong | Emergency Medicine | American Current Care Pa | 1419 Knecht Ave, Baltimore, MD 21227-1415 |
| Jeffrey M Peaper | Physician Assistant | American Current Care Pa | 1419 Knecht Ave, Baltimore, MD 21227-1415 |
| Find all physicians in zip 21227 | |||
| City | HALETHORPE |
| Zip Code | 21227 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HALETHORPE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jorge Vallecillo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.