Bernita M Spagnoli
PROVIDENCE DIAGNOSTIC IMAGING INC


Address: 271 Carew St, Springfield, MA 01104-2398
Phone: 4137489200

Bernita M Spagnoli (NPI# 1710945175, PAC ID# 1557351863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1710945175
PAC ID by PECOS 1557351863
Professional Enrollment ID I20040517001301
Full Name Bernita M Spagnoli
Organization Legal Name PROVIDENCE DIAGNOSTIC IMAGING INC
Address 271 Carew St
Springfield
MA 01104-2398
Phone Number 4137489200
Gender F
Credential MD
Medical School JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year 1987
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 1052300787
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220066 MERCY MEDICAL CTR
220077 BAYSTATE MEDICAL CENTER

Other Locations

Address Phone Organization
271 Carew St, Springfield, MA 01104-2398 4137489200 PROVIDENCE DIAGNOSTIC IMAGING INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_147_overall Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy 100%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 100%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%

Organization Information

Organization Legal Name PROVIDENCE DIAGNOSTIC IMAGING INC
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Jeffrey L Friedman Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
Rashmi Balasubramanya Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
Joanna A Carlson Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
David B Mernoff Diagnostic Radiology Providence Diagnostic Imaging Inc 1233 Main St, Holyoke, MA 01040-5381
Parshant Puri Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
Jayson R St Jacques Diagnostic Radiology Providence Diagnostic Imaging Inc 1233 Main St, Holyoke, MA 01040-5381
Warren P Shepherd Jr. Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
Gregory E Blackman Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
John Paul B Velasco Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398

Office Location

Street Address 271 CAREW ST
City SPRINGFIELD
State MA
Zip 01104-2398

Physicians in the same location

Name Specialty Organization Address
Agnieszka Nicora Emergency Medicine Emergency Medicine Solutions, LLC 271 Carew St, Springfield, MA 01104-2377
Leslie A Dubinsky Anesthesiology Woodland Anesthesiology Associates, P.C. 271 Carew St, Springfield, MA 01104-2377
Marc A Goldman Gastroenterology Riverbend Medical Group Inc 271 Carew St, Springfield, MA 01104-2377
Jeffrey L Friedman Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
Michael J Mcdonald Physician Assistant Riverbend Medical Group Inc 271 Carew St, Springfield, MA 01104-2377
Linda E Bornstein Radiation Oncology Springfield Radiation Oncology Associates, PC 271 Carew St, Springfield, MA 01104-2377
Barbara J Elliott-ruglass Certified Registered Nurse Anesthetist (crna) Woodland Anesthesiology Associates, P.C. 271 Carew St, Springfield, MA 01104-2377
Estate Kokosadze Hospitalist Mercy Inpatient Medical Associates Inc 271 Carew St, Springfield, MA 01104-2377
Daniel P Ogrady Physician Assistant Emergency Medicine Solutions, LLC 271 Carew St, Springfield, MA 01104-2377
Rashmi Balasubramanya Diagnostic Radiology Providence Diagnostic Imaging Inc 271 Carew St, Springfield, MA 01104-2398
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Physicians in the same zip code

Name Specialty Organization Address
Rodney B Thomas Chiropractic 770 Carew St, Springfield, MA 01104-1948
Luis A Moral Pathology New England Pathology Associates PC 299 Carew St, Springfield, MA 01104-2301
Thomas J Moran Obstetrics/gynecology Fitzpatrick Moran Costa and Haag-rickert LLP 299 Carew St, Suite 215, Springfield, MA 01104-2301
Colette A Haag Rickert Obstetrics/gynecology Fitzpatrick Moran Costa and Haag-rickert LLP 299 Carew St, Suite 215, Springfield, MA 01104-2301
Maria Antonia Gorgan Pathology New England Pathology Associates PC 299 Carew St, Springfield, MA 01104-2301
Sandy Zhuo Liu Pathology New England Pathology Associates PC 299 Carew St, Springfield, MA 01104-2301
Jeffrey Sussman Pathology New England Pathology Associates PC 299 Carew St, Springfield, MA 01104-2301
Robert A Goulart Pathology New England Pathology Associates PC 299 Carew St, Springfield, MA 01104-2301
Robert K Costa Obstetrics/gynecology Fitzpatrick Moran Costa and Haag-rickert LLP 299 Carew St, Suite 215, Springfield, MA 01104-2301
Martin E Bur Pathology New England Pathology Associates PC 299 Carew St, Springfield, MA 01104-2301
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Competitor

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City SPRINGFIELD
Zip Code 01104
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty SPRINGFIELD + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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