Kavita Mariwalla (NPI# 1962674184, PAC ID# 3678646064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1962674184 |
| PAC ID by PECOS | 3678646064 |
| Professional Enrollment ID | I20090904000346 |
| Full Name | Kavita Mariwalla |
| Organization Legal Name | MARIWALLA DERMATOLOGY, PLLC |
| Address |
1253 Montauk Hwy West Islip NY 11795-4916 |
| Phone Number | 6316653376 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5799962676 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1253 Montauk Hwy, West Islip, NY 11795-4916 | 6316653376 | MARIWALLA DERMATOLOGY, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 86% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 73% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | MARIWALLA DERMATOLOGY, PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Md Kruter | Dermatology | Mariwalla Dermatology, Pllc | 1253 Montauk Hwy, West Islip, NY 11795-4916 |
| Street Address |
1253 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip | 11795-4916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Md Kruter | Dermatology | Mariwalla Dermatology, Pllc | 1253 Montauk Hwy, West Islip, NY 11795-4916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Mccarthy | Physical Therapy | Island Shore Physical Therapy, LLP | 250 Higbie Lane, West Islip, NY 11795 |
| Hassan Hito | Internal Medicine | 1111 Mantauk Hwy, 3rd Floor, West Islip, NY 11795 | |
| Anna G Gorski-piaszczyk | Internal Medicine | 510 Montauk Hwy-ste D, West Islip, NY 11795 | |
| Edward H Weir | Chiropractic | 270 W 4th St, West Islip, NY 11795-1832 | |
| Justin A Minerva | Physical Therapy | 280 Higbie Ln, West Islip, NY 11795-2822 | |
| Ralph M Turri | Podiatry | West Islip Foot Care PC | 212 Higbie Ln, Suite 2, West Islip, NY 11795-2833 |
| Nicolle D Alvarez | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| Charlene Persaud | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| John W Hsu | General Surgery | Great South Bay Surgical Associates and Vascular Lab, LLP | 580 Union Blvd, West Islip, NY 11795-3105 |
| Thomas J Harrison | Nurse Practitioner | St Francis Hospital | 540 Union Blvd, West Islip, NY 11795-3105 |
| Find all physicians in zip 11795 | |||
| City | WEST ISLIP |
| Zip Code | 11795 |
| Specialty | DERMATOLOGY |
| City + Specialty | WEST ISLIP + DERMATOLOGY |
Please comment or provide details below to improve the information on Kavita Mariwalla.
| 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.