Active NPI
Wajid Hussain Memon, MD
- Student in an Organized Health Care Education/Training Program
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2100 Dorchester Avenue, Steward Carney Hospital
7TH Floor, Room No 7039
Boston, MA 02124 - Phone
- (617) 296-4000
- NPI assigned
- May 23, 2022
- Last updated
- Aug 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
2100 Dorchester Avenue, Steward Carney Hospital
7TH Floor, Room No 7039
Boston, MA 02124
Mailing address
2100 Dorchester Avenue, Steward Carney Hospital
7TH Floor, Room No 7039
Boston, MA 02124
Phone (617) 296-4000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| North Adams Regional Hospital Corporation | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Current | Accepting new patients |
Locations
71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
-
dba Berkshire Community Pharmacy of North Adams
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1023756822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVENUE, STEWARD CARNEY HOSPITAL",
"address_2": "7TH FLOOR, ROOM NO 7039",
"city": "BOSTON",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-296-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVENUE, STEWARD CARNEY HOSPITAL",
"address_2": "7TH FLOOR, ROOM NO 7039",
"city": "BOSTON",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-296-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "WAJID",
"middle_name": "HUSSAIN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-23",
"last_updated": "2025-08-29",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.