NPIMap

Individual provider Active NPI

Mandana Naderi Mehr, MD

  • Internal Medicine Physician
  • Longmeadow, MA
National Provider Identifier
1083153894
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
292789 Issued in MA
Practice address
21 Dwight Road
Suite 104
Longmeadow, MA 01106-1765
Phone
(413) 795-4555
Fax
(413) 794-9448
NPI assigned
Feb 14, 2017
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 292789 MA Primary

Addresses

Primary practice location

21 Dwight Road
Suite 104
Longmeadow, MA 01106-1765

Mailing address

280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-2049

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mandana.naderimehr@snch.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201003131 MA Practitioner - Internal Medicine 6103165667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

21 Dwight Rd
Suite 104
Longmeadow, MA 01106-1765
Phone (413) 794-4555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292789MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Jan 3, 2023 Accepting new patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Oct 14, 2024 Accepting new patients
Primary Urgent Medical PC Internal Medicine CurrentSince Nov 18, 2025 Accepting new patients
Riverbend Medical Group, Inc. Internal Medicine CurrentSince Jan 3, 2023 Accepting new patients

Locations

230 Main St
Agawam, MA 01001
Phone (413) 733-6700

21 Dwight Rd
Ste 104
Longmeadow, MA 01106
Phone (413) 794-4555

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

791 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 870-1620

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1083153894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-2049",
            "fax_number": "413-794-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DWIGHT ROAD",
            "address_2": "SUITE 104",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061765",
            "telephone_number": "413-795-4555",
            "fax_number": "413-794-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADERI MEHR",
        "first_name": "MANDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "292789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mandana.naderimehr@snch.org",
            "affiliation": "N",
            "endpointDescription": "mandana.naderimehr@snch.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mandana.naderimehr@snch.org",
            "address_1": "2750 Merrick Rd",
            "city": "Bellmore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117105720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.