Individual provider Active NPI

Idris Z Dahod, M.D.

  • Pediatric Gastroenterology Physician
  • Worcester, MA
National Provider Identifier
1265485767
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
156574 Issued in MA
Practice address
123 Summer St
Worcester, MA 01608-1200
Phone
(508) 363-7344
Fax
(508) 363-7345
NPI assigned
May 18, 2006
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 156574 MA
Pediatric Gastroenterology Physician 2080P0206X 156574 MA Primary

Addresses

Primary practice location

123 Summer St
Worcester, MA 01608-1200

Mailing address

27 Bridle Path
Shrewsbury, MA 01545-1564
Phone (508) 479-4441

Other practice location 1

405 Grove St Ste 304
Worcester, MA 01605-1270
Phone (508) 762-9136

Other identifiers 1

IdentifierTypeStateIssuer
3185796MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330000431 MA Practitioner - Pediatric Medicine 8729970017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parity Urgent Care Plus LLCGroup PAC ID 4587102421, 2 clinicians

Practice addresses (Care Compare)

950 American Legion Hwy Unit 10
Roslindale, MA 02131
Phone (617) 991-2931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156574MAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parity Urgent Care Plus, LLC CurrentSince Jul 23, 2024 Accepting new patients
Saint Vincent Physician Services, Inc. Pediatric Gastroenterology PastSince Aug 17, 2010 Accepting new patients
Central Mass Pediatric Gi & Nutrition, P.C. Pediatric Gastroenterology Past Accepting new patients

Locations

950 American Legion Hwy
Unit 10
Roslindale, MA 02131
Phone (617) 991-2931

950 American Legion Hwy
Roslindale, MA 02131
Phone (617) 323-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDDD/Endpoint/DEDDDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1265485767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BRIDLE PATH",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451564",
            "telephone_number": "508-479-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081200",
            "telephone_number": "508-363-7344",
            "fax_number": "508-363-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Grove St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016051270",
            "country_code": "US",
            "telephone_number": "508-762-9136",
            "fax_number": "508-373-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHOD",
        "first_name": "IDRIS",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "156574",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MA",
            "license": "156574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3185796",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.