Individual provider Active NPI

Aziz A. Ashirov, CRNA

  • Certified Registered Nurse Anesthetist
  • Longmeadow, MA
National Provider Identifier
1295128783
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6492 Issued in CT
Practice address
395 Porter Lake Dr
201
Longmeadow, MA 01106-1265
Phone
(407) 408-6716
NPI assigned
Mar 9, 2015
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN2300423 MA
Certified Registered Nurse Anesthetist 367500000X 6492 CT Primary
Registered Nurse 163W00000X 132882 CT
Registered Nurse 163W00000X RN2300423 MA

Addresses

Primary practice location

395 Porter Lake Dr
201
Longmeadow, MA 01106-1265

Mailing address

395 Porter Lake Dr
201
Longmeadow, MA 01106-1265
Phone (407) 408-6716

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3271

Other identifiers 1

IdentifierTypeStateIssuer
110122909AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151106000016 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921318783 Reassigns benefits to 13 organizations
I20160526001727 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921318783 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Woodland Anesthesia Associates PCGroup PAC ID 8820083652, 172 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-6654

271 Carew St
Springfield, MA 01104-2377
Phone (860) 714-9688

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

3550 Main St
Suite 103
Springfield, MA 01107-1077
Phone (413) 788-9700

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
132882CTMDRegistered Nurse
6492CTMDCertified Registered Nurse Anesthetist
RN2300423MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC CurrentSince Oct 13, 2020 Accepting new patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2019 Accepting new patients
Lowell Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2019 Accepting new patients
Pioneer Sedation PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2019 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince May 23, 2020 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Apr 15, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 14, 2019 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Apr 15, 2021 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2022 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Feb 17, 2026 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
Dha Endoscopy LLC CurrentSince May 13, 2020 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Sep 21, 2020 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Dha Endoscopy LLC CurrentSince May 13, 2020 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Amsurg Mdsine Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Sep 21, 2020 Accepting new patients

Locations

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166

145 West St
Milford, MA 01757
Phone (508) 381-5600

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

3550 Main St
Ste 103
Springfield, MA 01107
Phone (413) 788-9700

55 Saint George Rd
Springfield, MA 01104
Phone (413) 276-4543

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

400 10th St E
Waconia, MN 55387

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1295128783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PORTER LAKE DR",
            "address_2": "201",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061265",
            "telephone_number": "407-408-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PORTER LAKE DR",
            "address_2": "201",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061265",
            "telephone_number": "407-408-6716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3271",
            "fax_number": "508-856-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHIROV",
        "first_name": "AZIZ",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2300423",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "6492",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "132882",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2300423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110122909A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.