Active NPI
Bijan Nasseri Niaki, MD
- Pain Medicine (Anesthesiology) Physician
- Taunton, MA
National Provider Identifier
1235297250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 72033
- Practice address
- 91 Washington Street
3Rd Floor Ste 303
Taunton, MA 02780 - Phone
- (508) 824-1259
- NPI assigned
- Dec 4, 2006
- Last updated
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 72033 | MA | Primary |
Addresses
Primary practice location
91 Washington Street
3Rd Floor Ste 303
Taunton, MA 02780
Mailing address
91 Washington Street
3Rd Floor Ste 303
Taunton, MA 02780
Phone (508) 824-1259
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103421 | Medicaid | MA | |
| 7497480 | Other | AETNA | |
| 110052356A | Medicaid | MA | |
| AA181571 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72033 | MA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Assoc of Taunton Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Taunton, MA
- NPI 1437219623
-
- Anesthesiology Physician
- Taunton, MA
- NPI 1780754002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1235297250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 WASHINGTON STREET",
"address_2": "3RD FLOOR STE 303",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-824-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 WASHINGTON STREET",
"address_2": "3RD FLOOR STE 303",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-824-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIAKI",
"first_name": "BIJAN",
"middle_name": "NASSERI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MA",
"license": "72033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3103421",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7497480",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110052356A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA181571",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.