STEPHEN M. PEZZELLA MD – NPI #1770542656
Internal Medicine

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 PEZZELLA is a physician located in WORCESTER, MA. NPPES has assigned the NPI number 1770542656 to STEPHEN PEZZELLA on March 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 17 years ago on Feb 20, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHEN PEZZELLA below.

NPI Profile for
STEPHEN M. PEZZELLA

NPI Number
1770542656
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STEPHEN M. PEZZELLA
Credentials
MD
Primary location
123 SUMMER ST
WORCESTER, MA 01608
Phone: (508) 368-3130 Fax: (508) 368-3133
Mailing address
630 PLANTATION ST
WORCESTER, MA 01605
Phone: (508) 368-3130 Fax: (508) 368-3133
Sole Proprietor
No
Updated
Identifiers

Identifiers for STEPHEN PEZZELLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA US HEALTHCARE5030238
OTHERBLUE CARE ELECTN01759
OTHERBLUE SHIELD HMO BLUEN01759
OTHERBLUE SHIELD INDEMNITYN01759
OTHERCHILDRENS MEDICAL SECURIT26850
OTHERCIGNA HEALTH PLAN4366873
OTHERFALLON COMMUNITY HEALTH P9900071
OTHERFIRST HEALTH918138
OTHERHARVARD PILGRIM HEALTHCARAA6084
OTHERHEALTHCARE VALUE MANAGMEN042472266
OTHERHEALTHY START26856
OTHERMEDICAID WELFARE2070944
OTHERMEDICARE BN01759
OTHERMVP HEALTH CARE784067
OTHERONE HEALTH PLAN042472266
OTHERPRIVATE HEALTHCARE SYSTEM042472266
OTHERRAILROAD MEDICARE060047286
MEDICAIDMA2070944
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MA 39310

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.