Individual provider Active NPI

Alliam Regan, MD

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1407274574
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
273227 Issued in MA
Practice address
3400 Main Street
Springfield, MA 01107-1113
Phone
(413) 794-8777
Fax
(413) 794-8226
NPI assigned
Apr 4, 2014
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 273227 MA Primary

Addresses

Primary practice location

3400 Main Street
Springfield, MA 01107-1113

Mailing address

280 Chestnut St
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700

Other practice location 1

759 Chestnut Street
Springfield, MA 01107-1619
Phone (413) 794-6297

Other names 1

  • Alliam Ortiz Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171027001783 MA Practitioner - Internal MedicinePractitioner - Hospitalist 2062632144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Massachusetts Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am Medical PCGroup PAC ID 9133451990, 14 clinicians
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Geriatric Primary Care PCGroup PAC ID 7315483583, 14 clinicians

Practice addresses (Care Compare)

1200 Converse St
Longmeadow, MA 01106-1675
Phone (413) 374-0031

153 Cardinal Dr
Agawam, MA 01001-2182
Phone (413) 374-0031

25 Coles Meadow Rd
Suite 37
Northampton, MA 01060-1148
Phone (413) 374-0031

3400 Main St
Springfield, MA 01107-1113
Phone (413) 794-9560

345 Haydenville Rd
Leeds, MA 01053-9789
Phone (413) 374-0031

40 Court St
Westfield, MA 01085-3669
Phone (413) 374-0031

50 Benton Dr
East Longmeadow, MA 01028-2772
Phone (413) 374-0031

50 Village Hill Rd
Northampton, MA 01060-3664
Phone (413) 374-0031

551 N Rd
Westfield, MA 01085-5143
Phone (413) 374-0031

723 Main St
Agawam, MA 01001-2540
Phone (413) 374-0031

942 Grayson Dr
Springfield, MA 01119-1547
Phone (413) 374-0031

99 Front St
Belchertown, MA 01007-7902
Phone (413) 374-0031

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients

Locations

280 Chestnut St
#2
Springfield, MA 01199
Phone (413) 794-3909

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

3400 Main St
Springfield, MA 01107
Phone (413) 794-8777

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1407274574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MAIN STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071113",
            "telephone_number": "413-794-8777",
            "fax_number": "413-794-8226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071619",
            "country_code": "US",
            "telephone_number": "413-794-6297",
            "fax_number": "413-794-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "ALLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "273227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIAM",
            "last_name": "ORTIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.