Active NPI
Seth D. Bilazarian, M.D.
- Cardiovascular Disease Physician
- Danvers, MA
National Provider Identifier
1427050640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 70372
- Practice address
- 22 Cherry Hill Dr
Danvers, MA 01923-2575 - Phone
- (978) 646-1810
- NPI assigned
- Jun 1, 2005
- Last updated
- Oct 9, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 70372 | MA | Primary |
| Interventional Cardiology Physician | 207RI0011X | 70372 | MA | |
| Nuclear Cardiology Physician | 207UN0901X | 70372 | MA |
Addresses
Primary practice location
22 Cherry Hill Dr
Danvers, MA 01923-2575
Mailing address
73 Bartlet St
Andover, MA 01810-4138
Phone (978) 474-0579
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4365271 | Other | AETNA - NON-HMO | |
| 273451 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| E65588 | Other | NH | ANTHEM BLUE CROSS |
| 1427050640 | Other | AETNA - HMO | |
| 8531511 | Other | CIGNA | |
| 060061828 | Other | RAILROAD MEDICARE | |
| 25-01622 | Other | EVERCARE | |
| 678827 | Other | HEALTHSOURCE | |
| 3066169 | Medicaid | MA | |
| 0011267 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 070372 | Other | MA | TUFTS HEALTH PLAN |
| 975005 | Other | NETWORK HEALTH | |
| 30201624 | Other | NH | NEW HAMPSHIRE MEDICAID |
| J09571 | Other | MA | BLUE CROSS BLUE SHIELD |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70372 | MA | MD | Interventional Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1427050640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 BARTLET ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104138",
"telephone_number": "978-474-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CHERRY HILL DR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232575",
"telephone_number": "978-646-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILAZARIAN",
"first_name": "SETH",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "70372",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MA",
"license": "70372",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "MA",
"license": "70372",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - NON-HMO",
"identifier": "4365271",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "273451",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "E65588",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "1427050640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8531511",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060061828",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "25-01622",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "678827",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3066169",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0011267",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "070372",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "975005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE MEDICAID",
"identifier": "30201624",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J09571",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.