Pekkakuzhiyil M Mathew (NPI# 1578507539, PAC ID# 6901015361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578507539 |
| PAC ID by PECOS | 6901015361 |
| Professional Enrollment ID | I20101109000077 |
| Full Name | Pekkakuzhiyil M Mathew |
| Organization Legal Name | NORTHEAST INTERNAL MEDICINE ASSOCIATES,P.C |
| Address |
2500 N Detroit St Lagrange IN 46761-1319 |
| Phone Number | 2604632133 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7113830688 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150075 | BLUFFTON REGIONAL MEDICAL CENTER |
| 150091 | PARKVIEW HUNTINGTON HOSPITAL |
| 151310 | PARKVIEW WABASH HOSPITAL, INC |
| 151313 | WOODLAWN HOSPITAL |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1026 S Main St, Bluffton, IN 46714-3614 | 2608243210 | BLUFFTON PHYSICIAN SERVICES,LLC |
| 2500 N Detroit St, Lagrange, IN 46761-1319 | 2604632133 | NORTHEAST INTERNAL MEDICINE ASSOCIATES,P.C |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 67% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 55% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 81% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 12% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | NORTHEAST INTERNAL MEDICINE ASSOCIATES,P.C |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilpa Kashyap | Diagnostic Radiology | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Vijay G Kamineni | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Amber N Handshoe | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Lauren N Fiandt | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Abdali Shakoor Jan | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Kamran Mushtaq | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Ahad Ayaz | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Shashank N Kashyap | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Jayanth K Gutta | Pulmonary Disease | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Elizabeth Burkhart | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Street Address |
2500 N DETROIT ST |
| City | LAGRANGE |
| State | IN |
| Zip | 46761-1319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilpa Kashyap | Diagnostic Radiology | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Vijay G Kamineni | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Amber N Handshoe | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Lauren N Fiandt | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Abdali Shakoor Jan | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Kamran Mushtaq | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Ahad Ayaz | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Shashank N Kashyap | Internal Medicine | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Jayanth K Gutta | Pulmonary Disease | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Elizabeth Burkhart | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnold Mendoza Parial | Ophthalmology | Parial Eye Physicians Plc | 840 N Detroit St, Lagrange, IN 46761-1112 |
| William L Pipher | Chiropractic | 818 N Detroit St, Lagrange, IN 46761-1112 | |
| Arsenio Tenorio Parial | Ophthalmology | Parial Eye Physicians Plc | 840 N Detroit St, Lagrange, IN 46761-1112 |
| Ashley Erin Hunter | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 835 N Detroit St, Lagrange, IN 46761-1113 |
| Daryl Hershberger | Family Medicine | 2120 N Detroit St, La Grange, IN 46761-1147 | |
| Katrina Carlson | Nurse Practitioner | Parkview Health System Inc | 2600 N Detroit St, Booth Medical Center, Lagrange, IN 46761-1154 |
| Rhonda L Sharp | Family Medicine | Parkview Health System Inc | 2600 N Detroit St, Booth Medical Center, Lagrange, IN 46761-1154 |
| Paul A Keplinger | Nurse Practitioner | Parkview Health System Inc | 2600 N Detroit St, Booth Medical Center, Lagrange, IN 46761-1154 |
| Megan M Buuck | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Brittney M Harmeyer | Nurse Practitioner | Northeast Internal Medicine Associates,p.c | 2500 N Detroit St, Lagrange, IN 46761-1319 |
| Find all physicians in zip 46761 | |||
| City | LAGRANGE |
| Zip Code | 46761 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAGRANGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Pekkakuzhiyil M Mathew.
| 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.