Organization Active NPI

Pulse Primary Care of Massachusetts PLLC

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1356152136
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PULSE PRIMARY CARE OF MASSACHUSETTS PLLC
Practice address
299 Carew St Ste 322
Springfield, MA 01104-2431
Phone
(413) 737-2371
Fax
(413) 788-7829
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Ali Zreik
Title
Authorized Official
Phone
(313) 584-3359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

299 Carew St Ste 322
Springfield, MA 01104-2431

Mailing address

15400 Michigan Ave
Dearborn, MI 48126-3491
Phone (313) 584-3359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502002209 MA Part B Supplier - Clinic/Group Practice 9739606732 Receives reassigned benefits from 6 practitioners
Practice locations: Springfield, MA; West Springfield, MA

National Provider Directory

National Provider Directory

Locations

112 Westfield St
Ste 2
West Springfield, MA 01089
Phone (413) 732-5696

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1356152136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263491",
            "telephone_number": "313-584-3359",
            "fax_number": "313-584-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 322",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042431",
            "telephone_number": "413-737-2371",
            "fax_number": "413-788-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE PRIMARY CARE OF MASSACHUSETTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "ZREIK",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-584-3359"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.