Active NPI
Juliana K Atallah, MD
- Student in an Organized Health Care Education/Training Program
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 63987
- Practice address
- 47 New Scotland Ave
Dept of Internal Medicine
Albany, NY 12208 - Phone
- (518) 262-5377
- NPI assigned
- Mar 29, 2018
- Last updated
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 63987 | NY | Primary |
Addresses
Primary practice location
47 New Scotland Ave
Dept of Internal Medicine
Albany, NY 12208
Mailing address
47 New Scotland Ave
Dept of Internal Medicine
Albany, NY 12208
Phone (518) 262-5377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Albany Medical College of Union University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usc Care Medical Group Inc
Practice addresses (Care Compare)
125 W Hungtington Dr
Arcadia, CA 91007-3050
1441 Eastlake Ave
Los Angeles, CA 90089-0112
Phone (323) 442-2582
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100
830 S Flower St
Los Angeles, CA 90017-4608
Phone (213) 486-8630
Hospital & facility affiliations
- Usc Kenneth Norris Jr Cancer Hospital
- Keck Hospital of Usc
- Usc Verdugo Hills Hospital
- Glendale Adventist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63987 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Mskcc Radiology Group | Current | Accepting new patients | |
| Keck Medicine of Usc Imaging Centers, LLC | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
590 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 517-8676
590 S Fair Oaks Ave
Ste 143
Pasadena, CA 91105
Phone (626) 517-8676
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1639159692
-
- Radiology Clinic/Center
- Pasadena, CA
- NPI 1669292405
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
dba Keck Hospital of USC
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
dba USC Kenneth Norris Jr. Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1366947343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVE",
"address_2": "DEPT OF INTERNAL MEDICINE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVE",
"address_2": "DEPT OF INTERNAL MEDICINE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATALLAH",
"first_name": "JULIANA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "63987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.