Individual provider Active NPI

Sadruddin B Hemani, MD

  • Otolaryngic Allergy Physician
  • Newburyport, MA
National Provider Identifier
1013053230
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
35461 Issued in MA
Practice address
21 Highland Ave
Suite 10
Newburyport, MA 01950-3872
Phone
(978) 462-3166
Fax
(978) 462-5168
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 35461 MA Primary

Addresses

Primary practice location

21 Highland Ave
Suite 10
Newburyport, MA 01950-3872

Mailing address

21 Highland Ave
Suite 10
Newburyport, MA 01950-3872
Phone (978) 462-3166

Other identifiers 5

IdentifierTypeStateIssuer
035461OtherMATUFTS
M11962OtherMABCBS OF MA INDIVIDUAL
19374OtherMAHARVARD PILGRIM HEALTH
005466OtherMANEIGHBORHOOD HEALTH INDIV
0148881MedicaidMA

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
I20050630000331 MA Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5395717003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Highland Ave
Suite 10
Newburyport, MA 01950-3873
Phone (978) 462-3166

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sadruddin B Hemani MDPC Otolaryngic Allergy CurrentSince May 10, 1973 Accepting new patients

Locations

21 Highland Ave
#B
Newburyport, MA 01950

21 Highland Ave
Ste 10
Newburyport, MA 01950
Phone (978) 462-3166

21 Highland Ave
Ste 24
Newburyport, MA 01950
Phone (508) 462-1555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHBAA/Endpoint/CEHBAA

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 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013053230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 10",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-3166",
            "fax_number": "978-462-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 10",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-3166",
            "fax_number": "978-462-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMANI",
        "first_name": "SADRUDDIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "MA",
            "license": "35461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "035461",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA INDIVIDUAL",
            "identifier": "M11962",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "19374",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH INDIV",
            "identifier": "005466",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.