Shazneen Keyamanesh Eisner, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

151116 Issued in MA

Practice address

505 Middlesex Tpke Unit 3
Billerica, MA 01821-3578

Phone

(978) 663-3410

Fax

(978) 670-8110

NPI assigned

Nov 22, 2006

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shazneen Jal Keyamanesh Former name

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

Specialty

Internal Medicine

Education

Medical College of Pennsylvania, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Concord River Medical Associates PC

  • Internal Medicine Physician
  • Billerica, MA
  • NPI 1114093978
  Medicare reassignment NPD Authorized official
• Community Physicians Associates, Inc.

  • Orthopaedic Surgery Physician
  • Milton, MA
  • NPI 1477832780
  NPD (past)
• Community Physicians Associates, Inc.

  • Family Medicine Physician
  • Milton, MA
  • NPI 1538154869

  Internal Medicine

  NPD (past)
• Lawrence Newman MD & Penelope Hall MD

  • Internal Medicine Physician
  • Billerica, MA
  • NPI 1477522852
  NPD (past)
• Massachusetts Eye Associates PC

  • Eyewear Supplier
  • Chelmsford, MA
  • NPI 1295930949
  NPD (past)

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

• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1306911573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035709",
            "telephone_number": "978-663-3410",
            "fax_number": "978-670-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MIDDLESEX TPKE UNIT 3",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213578",
            "telephone_number": "978-663-3410",
            "fax_number": "978-670-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "SHAZNEEN",
        "middle_name": "KEYAMANESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAZNEEN",
            "last_name": "KEYAMANESH",
            "middle_name": "JAL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr Matthew Healey DMD PC
• Dr. a. G. Khan DMD PC
• Dr. Dental of Billerica PC
• Holly Driscoll, LMFT
• Karissa Drumm
• Eliot Community Human Services
• Elite Rehabilitation LLC
• Elite Sante Plus
• Empire Vision Center Inc (Visionworks)
• Isaiah James Escamilla

• Internal Medicine Physician in Billerica, MA
• Providers in Billerica, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.