NPIMap

Organization Active NPI

Cardiovascular Associates of Western Mass PC

  • Cardiovascular Disease Physician
  • Westfield, MA
National Provider Identifier
1306959937
Registry record updated Aug 6, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
47638 Issued in MA
Legal business name
CARDIOVASCULAR ASSOCIATES OF WESTERN MASS PC
Practice address
65 Springfield Rd
Westfield, MA 01085-1855
Phone
(413) 562-7558
Fax
(413) 562-0907
NPI assigned
Aug 17, 2006
Last updated
Aug 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Dr. Shantilal N Kenia, M.D.
Title
President
Phone
(413) 562-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 47638 MA Primary

Addresses

Primary practice location

65 Springfield Rd
Westfield, MA 01085-1855

Mailing address

65 Springfield Rd
Westfield, MA 01085-1855
Phone (413) 562-7558

Other identifiers 4

IdentifierTypeStateIssuer
CG4156OtherMARAILROAD MEDICARE
667837OtherMATUFTS HEALH PLAN
9786872MedicaidMA
M17274OtherMABC/BS OF MASSACHUSETTS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1306959937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SPRINGFIELD RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851855",
            "telephone_number": "413-562-7558",
            "fax_number": "413-562-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SPRINGFIELD RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851855",
            "telephone_number": "413-562-7558",
            "fax_number": "413-562-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF WESTERN MASS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "KENIA",
        "authorized_official_first_name": "SHANTILAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-562-7558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "47638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG4156",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALH PLAN",
            "identifier": "667837",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786872",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MASSACHUSETTS",
            "identifier": "M17274",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.