NPIMap

Individual provider Active NPI

Zannat Ekram, D.O

  • Student in an Organized Health Care Education/Training Program
  • Salem, MA
National Provider Identifier
1174942825
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
81 Highland Ave
Salem, MA 01970-2768
Phone
(978) 741-1200
NPI assigned
Apr 9, 2014
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 288360 MA
Pulmonary Disease Physician 207RP1001X 288360 MA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 288360 MA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

81 Highland Ave
Salem, MA 01970-2768

Mailing address

9134 Inwood Dr
Woburn, MA 01801-5164
Phone (347) 863-6578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210930001781 MA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0244637494 Reassigns benefits to 1 organization
I20250117003021 NH Practitioner - Internal Medicine 0244637494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288360MAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. CurrentSince Dec 12, 2024 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Pulmonary Disease CurrentSince Sep 1, 2021 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

30 Tuscan Blvd
#3
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: ekram.zannat.nsmc@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1174942825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9134 INWOOD DR",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018015164",
            "telephone_number": "347-863-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702768",
            "telephone_number": "978-741-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKRAM",
        "first_name": "ZANNAT",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "288360",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "288360",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "288360",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.