Alicia M Detraglia (NPI# 1376532499, PAC ID# 8921195348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1376532499 |
| PAC ID by PECOS | 8921195348 |
| Professional Enrollment ID | I20071101000534 |
| Full Name | Alicia M Detraglia |
| Organization Legal Name | ATUL BUTALA PHYSICIAN PC |
| Address |
807 Newell St Utica NY 13502-5313 |
| Phone Number | 3157989300 |
| Gender | F |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1997 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 4082512157 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 807 Newell St, Utica, NY 13502-5313 | 3157989300 | ATUL BUTALA PHYSICIAN PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 43% | |
| MIPS_EC_070_overall | Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry | 3% |
| Organization Legal Name | ATUL BUTALA PHYSICIAN PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merima Ramovic-zobic | Hematology/oncology | Atul Butala Physician PC | 807 Newell St, Utica, NY 13502-5313 |
| Samir Desai | Hematology/oncology | Atul Butala Physician PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Windy G Mitchell | Physician Assistant | Atul Butala Physician PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Atul V Butala | Hematology/oncology | Atul Butala Physician PC | 807 Newell St, Utica, NY 13502-5313 |
| Stacey M Jaskolka | Nurse Practitioner | Atul Butala Physician PC | 807 Newell St, Utica, NY 13502-5313 |
| Street Address |
807 NEWELL ST |
| City | UTICA |
| State | NY |
| Zip | 13502-5313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merima Ramovic-zobic | Hematology/oncology | Atul Butala Physician PC | 807 Newell St, Utica, NY 13502-5313 |
| Atul V Butala | Hematology/oncology | Atul Butala Physician PC | 807 Newell St, Utica, NY 13502-5313 |
| Stacey M Jaskolka | Nurse Practitioner | Atul Butala Physician PC | 807 Newell St, Utica, NY 13502-5313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry F Lutz | Optometry | 710 Horatio St, Suite 700, Utica, NY 13502-1461 | |
| Edward J Casper Jr. | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1605 | |
| Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
| Salvatore Capuana | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1661 | |
| David M Abdoo | Physical Therapy | 430 Coventry Ave, Utica, NY 13502-1764 | |
| Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Jonathan D Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Komgrit Chukiert | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Thomas E Gwilt | Nurse Practitioner | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Find all physicians in zip 13502 | |||
| City | UTICA |
| Zip Code | 13502 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | UTICA + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Alicia M Detraglia.
| 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.