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RIAD ETTUNSI
NPI 1073828893
Internal Medicine in Lowell, MA

Active since August 17, 2010PECOS EnrolledAccepts Medicare Assignment
295 VARNUM AVE, LOWELL, MA 01854(978) 937-6000 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2017, Nov 2, 2016 (2 updates tracked since 2016).

About Riad Ettunsi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIAD ETTUNSI (NPI 1073828893) is an individual internal medicine provider in Lowell, Massachusetts, licensed in Massachusetts (254793) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073828893
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRIAD ETTUNSI
Location Address295 VARNUM AVELowell, MA 01854-2134
Mailing Address295 Varnum AveLowell, MA 01854-2134
Phone(978) 937-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 17, 2010
Last NPPES UpdateFebruary 7, 20172 updates tracked since enumeration
✔ NPI 1073828893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 254793
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
295 VARNUM AVE, Lowell, MA 01854
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Other Identifiers 1

Medicare PINS400325058MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Riad Ettunsi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688805906
PECOS Enrollment IDI20140328001457, I20240729004229
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
153 services93 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
61 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services22 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
25 services23 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
21 services16 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%407 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
52%99 patients3/55-star benchmark: 99%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
74%119 patients4/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims27 services$5.37 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers15 claims15 services$37.46 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers15 claims15 services$53.17 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims96 services$2.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$11.12 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$32.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVI KRISHNA MURTHY MD
Emergency Medicine
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6161
NICOLE FLAHERTY
Nurse Practitioner (Pediatrics)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MRS. JULIE FRANCES VERGADOS SIMONEAU
Nurse Practitioner
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6088
KELLY SURABIAN
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MISS MICHELLE MUKASA PA-C
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
DR. SUFYAN A SHEIKH MD
Anesthesiology
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC
LOWELL, MA 01854
Middlesex County (978) 454-0941
DR. CYNTHIA LYNN MANNING M.D.
Hospitalist
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
JULIEANN DUONG PA-C
Physician Assistant (Medical)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riad Ettunsi's NPI number?

The NPI number for Riad Ettunsi is 1073828893. It was assigned to this individual provider in the NPPES registry on August 17, 2010.

Where is Riad Ettunsi located?

Riad Ettunsi practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6000.

What is Riad Ettunsi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Riad Ettunsi enrolled in Medicare?

Yes. Riad Ettunsi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Riad Ettunsi accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Riad Ettunsi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Riad Ettunsi affiliated with any hospitals?

According to CMS data, Riad Ettunsi is affiliated with Lawrence General Hospital, St Elizabeth's Medical Center, Lowell General Hospital, Holy Family Hospital and Parkland Medical Center.

When was this NPI record last updated?

The NPPES record for Riad Ettunsi was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.