Michael David Ingegno (NPI# 1447270459, PAC ID# 6406824952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1447270459 |
| PAC ID by PECOS | 6406824952 |
| Professional Enrollment ID | I20040922000432 |
| Full Name | Michael David Ingegno |
| Organization Legal Name | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| Address |
13851 E 14th Suite 202 San Leandro CA 94578-2631 |
| Phone Number | 5103474700 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1988 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 1951390137 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050773 | SAN LEANDRO HOSPITAL |
| 050488 | EDEN MEDICAL CENTER |
| 050002 | ST ROSE HOSPITAL |
| 050320 | HIGHLAND HOSPITAL |
| 050211 | ALAMEDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 | 5103474700 | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| 100 Park Pl, Suite 150, San Ramon, CA 94583-4460 | 9252750551 | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 83% |
| Organization Legal Name | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donato Stinghen | General Surgery | General Vascular Surgery Medical Group, Inc. | 815 Atlantic Ave, Suite 100, Alameda, CA 94501-2298 |
| Robert Oneil Gingery | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Lamont D Paxton | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 2070 Clinton Ave, Suite 3, Alameda, CA 94501-4399 |
| Jennifer Kam | Physician Assistant | General Vascular Surgery Medical Group, Inc. | 2070 Clinton Ave, Suite 3, Alameda, CA 94501-4399 |
| Varinder Singh Phangureh | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Ramy M Moharram | Physician Assistant | General Vascular Surgery Medical Group, Inc. | 2070 Clinton Ave, Suite 3, Alameda, CA 94501-4399 |
| Abid Christopher Mogannam | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Street Address |
13851 E 14TH SUITE 202 |
| City | SAN LEANDRO |
| State | CA |
| Zip | 94578-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Oneil Gingery | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Varinder Singh Phangureh | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Abid Christopher Mogannam | Vascular Surgery | General Vascular Surgery Medical Group, Inc. | 13851 E 14th, Suite 202, San Leandro, CA 94578-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Fordham | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Japsharan Gill | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Jamie L Lacsina | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Shabeg S Gondara | Psychiatry | Alameda Health System | 2060 Fairmont Dr, San Leandro, CA 94578-1001 |
| Karen T Marcus | Psychiatry | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| I Fei Chen | Family Practice | Alameda Health System | 15400 Foothill Blvd H, San Leandro, CA 94578-1009 |
| Emma B Shak | Internal Medicine | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Mary Ann S Gelera | Nurse Practitioner | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Denise S Tukenmez | Obstetrics/gynecology | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Reena J Cho | Nurse Practitioner | Alameda Health System | 15400 Foothill Blvd, San Leandro, CA 94578-1009 |
| Find all physicians in zip 94578 | |||
| City | SAN LEANDRO |
| Zip Code | 94578 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | SAN LEANDRO + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Michael David Ingegno.
| 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.