Active NPI
Shayan Hashmi, MPAS
- Physician Assistant
- Medford, MA
National Provider Identifier
1376096685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA5887
- Practice address
- 124 Professors Row
Medford, MA 02155-5816 - Phone
- (617) 627-3350
- NPI assigned
- Aug 3, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA5887 | MA | Primary |
Addresses
Primary practice location
124 Professors Row
Medford, MA 02155-5816
Mailing address
20 Winn Ter
Malden, MA 02148-1110
Phone (413) 454-2877
Other practice location 1
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2888
Other practice location 2
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5566
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients | |
| Tufts University Health Service | 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.
-
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
-
- Health Service Clinic/Center
- Medford, MA
- NPI 1669658712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1376096685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WINN TER",
"city": "MALDEN",
"state": "MA",
"postal_code": "021481110",
"telephone_number": "413-454-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 PROFESSORS ROW",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555816",
"telephone_number": "617-627-3350"
}
],
"practiceLocations": [
{
"address_1": "30 Locust St",
"address_purpose": "LOCATION",
"city": "Northampton",
"state": "MA",
"postal_code": "010602052",
"country_code": "US",
"telephone_number": "413-582-2888",
"fax_number": "413-582-2888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Washington St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111552",
"country_code": "US",
"telephone_number": "617-636-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASHMI",
"first_name": "SHAYAN",
"credential": "MPAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.