Individual provider Active NPI

Priyal A Amin, DO

  • Allergy Physician
  • Westford, MA
National Provider Identifier
1174784045
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
257682 Issued in MA
Practice address
68 Tadmuck Rd Ste 3
Westford, MA 01886-3136
Phone
(978) 619-5447
Fax
(978) 692-8800
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 257682 MA Primary

Addresses

Primary practice location

68 Tadmuck Rd Ste 3
Westford, MA 01886-3136

Mailing address

68 Tadmuck Rd Ste 3
Westford, MA 01886-3136
Phone (978) 619-5447

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
I20141030001862 MA Practitioner - Allergy/Immunology 6608097902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrics West PCGroup PAC ID 0143448514, 15 clinicians

Practice addresses (Care Compare)

133 Littleton Rd
Suite 101
Westford, MA 01886-3198
Phone (978) 577-0437

Hospital & facility affiliations

  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics West, PC CurrentSince Jul 7, 2014 Accepting new patients
Emerson Hospital Current Accepting new patients
Specialty West PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

68 Tadmuck Rd
Ste 3
Westford, MA 01886
Phone (978) 577-0437

133 Littleton Rd
Ste 103
Westford, MA 01886
Phone (978) 619-5447

133 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 577-0437

Interoperability endpoints

  • Direct secure messaging: amin.priyal.epho@direct.partners.masshiway.net

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 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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1174784045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 TADMUCK RD STE 3",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863136",
            "telephone_number": "978-619-5447",
            "fax_number": "978-692-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 TADMUCK RD STE 3",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863136",
            "telephone_number": "978-619-5447",
            "fax_number": "978-692-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "PRIYAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "257682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.