Active NPI
Albert Joseph Callahan III, M.D.
- Pediatrics Physician
- West Springfield, MA
National Provider Identifier
1295722239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 216962
- Practice address
- 373 Park St
West Springfield, MA 01089-3304 - Phone
- (413) 734-1001
- Fax
- (413) 736-4875
- NPI assigned
- Oct 4, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 216962 | MA | Primary |
Addresses
Primary practice location
373 Park St
West Springfield, MA 01089-3304
Mailing address
45 Porter Rd
East Longmeadow, MA 01028-1353
Phone (413) 525-1981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019744 | Medicaid | MA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216962 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Hampden County, Inc. | Pediatrics | Past | Accepting new patients |
| Pediatric Associates of Hampden County | Pediatrics | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- West Springfield, MA
- NPI 1689729857
-
- Pediatrics Physician
- Westfield, MA
- NPI 1649336850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1295722239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PORTER RD",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010281353",
"telephone_number": "413-525-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 PARK ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010893304",
"telephone_number": "413-734-1001",
"fax_number": "413-736-4875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "ALBERT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "216962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019744",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.