Active NPI
Family MD Urgent Care
- Family Medicine Physician
- West Springfield, MA
National Provider Identifier
1124861984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY MD URGENT CARE
- Practice address
- 1238 Riverdale St
West Springfield, MA 01089-4675 - Phone
- (413) 504-3507
- NPI assigned
- Jun 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Atif Khan, NP
- Title
- NP/Owner
- Phone
- (413) 504-3507
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1238 Riverdale St
West Springfield, MA 01089-4675
Mailing address
1238 Riverdale St
West Springfield, MA 01089-4675
Phone (413) 504-3507
Other practice location 1
241 S Westfield St
Feeding Hills, MA 01030-2713
Phone (413) 504-3507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260622000254 | MA | Part B Supplier - Clinic/Group Practice | 6204309347 |
Receives reassigned benefits from 1 practitioner Practice locations: Feeding Hills, MA |
National Provider Directory
National Provider DirectoryLocations
241 S Westfield St
Feeding Hills, MA 01030
Phone (413) 504-3507
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- West Springfield, MA
- NPI 1639731011
-
- Internal Medicine Physician
- Ware, MA
- NPI 1780646141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1124861984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238 RIVERDALE ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894675",
"telephone_number": "413-504-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 RIVERDALE ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894675",
"telephone_number": "413-504-3507"
}
],
"practiceLocations": [
{
"address_1": "241 S Westfield St",
"address_purpose": "LOCATION",
"city": "Feeding Hills",
"state": "MA",
"postal_code": "010302713",
"country_code": "US",
"telephone_number": "413-504-3507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY MD URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ATIF",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "413-504-3507",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.