Organization Active NPI

Sadruddin B Hemani MDPC

  • Otolaryngic Allergy Physician
  • Newburyport, MA
National Provider Identifier
1255428462
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
35461 Issued in MA
Legal business name
SADRUDDIN B HEMANI MDPC
Practice address
21 Highland Ave
Suite 10
Newburyport, MA 01950-3872
Phone
(978) 462-3166
Fax
(978) 462-5168
NPI assigned
Oct 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Sadruddin B Hemani, MDNPI 1013053230
Title
President
Phone
(978) 462-3166

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)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X 35461 MA Primary

Addresses

Primary practice location

21 Highland Ave
Suite 10
Newburyport, MA 01950-3872

Mailing address

21 Highland Ave
Suite 10
Newburyport, MA 01950-3872
Phone (978) 462-3166

Other identifiers 5

IdentifierTypeStateIssuer
035461OtherMATUFTS
19374OtherMAHARVARD PILGRIM HEALTH
0022585OtherMANEIGHBORHOOD HEALTH
9700544MedicaidMA
SAM11962OtherMABLUE SHIELD OF MASS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811001257 MA Part B Supplier - Clinic/Group Practice 1951373661 Receives reassigned benefits from 1 practitioner
Practice locations: Newburyport, MA

National Provider Directory

National Provider Directory

Locations

21 Highland Ave
#B
Newburyport, MA 01950

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1255428462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 10",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-3166",
            "fax_number": "978-462-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 10",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-3166",
            "fax_number": "978-462-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADRUDDIN B HEMANI MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "HEMANI",
        "authorized_official_first_name": "SADRUDDIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-462-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "MA",
            "license": "35461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "035461",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "19374",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0022585",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700544",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MASS GROUP",
            "identifier": "SAM11962",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.