Active NPI
Sadruddin B Hemani MDPC
- Otolaryngic Allergy Physician
- Newburyport, MA
National Provider Identifier
1255428462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- 35461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sadruddin B Hemani, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035461 | Other | MA | TUFTS |
| 19374 | Other | MA | HARVARD PILGRIM HEALTH |
| 0022585 | Other | MA | NEIGHBORHOOD HEALTH |
| 9700544 | Medicaid | MA | |
| SAM11962 | Other | MA | BLUE SHIELD OF MASS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Otolaryngic Allergy Physician
- Newburyport, MA
- NPI 1013053230
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.