Individual provider Active NPI

Reda H Ishak, M.D.

  • Internal Medicine Physician
  • West Springfield, MA
National Provider Identifier
1366428013
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80712 Issued in MA
Practice address
274 Westfield St
West Springfield, MA 01089-2572
Phone
(413) 733-1900
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80712 MA Primary

Addresses

Primary practice location

274 Westfield St
West Springfield, MA 01089-2572

Mailing address

274 Westfield St
West Springfield, MA 01089-2572
Phone (413) 733-1900

Other identifiers 1

IdentifierTypeStateIssuer
80712OtherMALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060331000313 MA Practitioner - Internal Medicine 1759399868 Reassigns benefits to 2 organizations
I20260316002496 CT Practitioner - Internal Medicine 1759399868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masstex Imaging, LLCGroup PAC ID 6709809585, 12 clinicians

Practice addresses (Care Compare)

112 Westfield St
Suite 2
W Springfield, MA 01089-2578
Phone (413) 733-1900

119 C Griswold St
Glastonbury, CT 06033-1097
Phone (800) 508-6277

3 Electronics Ave
Suite 201
Danvers, MA 01923-1099
Phone (978) 750-0300

Hospital & facility affiliations

  • Holyoke Visiting Nurse Assoc Home health agency, Holyoke, MA, CCN 227015
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Masstex Imaging, LLC CurrentSince Oct 27, 2025 Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine PastSince Aug 17, 2020 Accepting new patients

Locations

119C Griswold St
Glastonbury, CT 06033
Phone (800) 508-6277

3 Electronics Ave
Ste 201
Danvers, MA 01923
Phone (978) 750-0300

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366428013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892572",
            "telephone_number": "413-733-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892572",
            "telephone_number": "413-733-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "REDA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "80712",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.