Bijan Sadrnoori MD PC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

41344 Issued in MA

Legal business name

BIJAN SADRNOORI MD PC

Practice address

411 Merrimack St
Ste 101
Methuen, MA 01844-5821

Phone

(978) 688-4665

Fax

(978) 682-8743

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bijan Sadrnoori, MDNPI 1639135650

Title

PC

Phone

(978) 688-4665

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bijan Sadrnoori, M.D.

  • Pulmonary Disease Physician
  • Methuen, MA
  • NPI 1639135650
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1205044153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "STE 101",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-688-4665",
            "fax_number": "978-682-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "STE 101",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-688-4665",
            "fax_number": "978-682-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJAN SADRNOORI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SADRNOORI",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "978-688-4665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "41344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3029051",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin J Berry, M.D.
• Felipe Alberto Betances Gonzalez
• Nirlap Bettenhauser
• Betterlife Pharmacy Inc
• Stella Bichekas, PHARMD
• Bio-Medical Applications of Massachusetts, Inc.
• Bio-Medical Applications of Massachusetts, Inc.
• Megan Bird
• Andrew James Birr
• Blueskies Wellness, Inc.

• Critical Care Medicine (Internal Medicine) Physician in Methuen, MA
• Providers in Methuen, MA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.

Verify at the official NPI Registry.