Individual provider Active NPI

Sejal Daga, M.D.

  • Pediatrics Physician
  • Leominster, MA
National Provider Identifier
1437147782
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
217383 Issued in MA
Practice address
100 Hospital Rd
Suite 4
Leominster, MA 01453-2253
Phone
(978) 514-6300
Fax
(978) 514-6324
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 217383 MA Primary

Addresses

Primary practice location

100 Hospital Rd
Suite 4
Leominster, MA 01453-2253

Mailing address

100 Hospital Rd
Suite 4
Leominster, MA 01453-2253
Phone (978) 514-6300

Other identifiers 1

IdentifierTypeStateIssuer
2021510MedicaidMA

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
I20041221000560 MA Practitioner - Pediatric Medicine 4688632797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Pediatrics, P.C.Group PAC ID 6709828718, 4 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Suite 4
Leominster, MA 01453-2253
Phone (978) 514-6300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Pediatrics, P.C. CurrentSince Jan 4, 2010 Accepting new patients
Saint Vincent Physician Services, Inc. Pediatrics PastSince Aug 17, 2010 Accepting new patients

Locations

100 Hospital Rd
Ste 4A
Leominster, MA 01453
Phone (978) 514-6300

100 Hospital Rd
Ste 4
Leominster, MA 01453
Phone (978) 514-6300

Interoperability endpoints

  • Direct secure messaging: sdaga14787@direct.chppoc.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1437147782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 4",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-514-6300",
            "fax_number": "978-514-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 4",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-514-6300",
            "fax_number": "978-514-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGA",
        "first_name": "SEJAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "217383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.