Individual provider Active NPI

Pedro C Falla, M.D.

  • Internal Medicine Physician
  • New Bedford, MA
National Provider Identifier
1811096977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
159344 Issued in MA
Practice address
54 Brigham St
New Bedford, MA 02740-2208
Phone
(508) 979-1100
Fax
(508) 979-1918
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 159344 MA Primary

Addresses

Primary practice location

54 Brigham St
New Bedford, MA 02740-2208

Mailing address

54 Brigham St
New Bedford, MA 02740-2208
Phone (508) 979-1100

Other identifiers 1

IdentifierTypeStateIssuer
3200604MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000191 MA Practitioner - Internal Medicine 4587654322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Medical Associates LLCGroup PAC ID 0446376487, 7 clinicians

Practice addresses (Care Compare)

237 A State Rd
North Dartmouth, MA 02747-2612
Phone (508) 979-1100

Hospital & facility affiliations

  • Nightingale Visiting Nurses Home health agency, Taunton, MA, CCN 227215
  • Southcoast Visiting Nurse Association Inc Home health agency, Fairhaven, MA, CCN 227101
  • Community Nurse Home Care Home health agency, Fairhaven, MA, CCN 227027
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: pedro.falla@939060233043972.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811096977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402208",
            "telephone_number": "508-979-1100",
            "fax_number": "508-979-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402208",
            "telephone_number": "508-979-1100",
            "fax_number": "508-979-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLA",
        "first_name": "PEDRO",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "159344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3200604",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.