Esfandiar Ansari, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Burlington, MA
NPI 1437256161 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1437256161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 52592 (MA)
- Practice address
- Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001 - Phone
- (781) 744-5100
- Fax
- (781) 744-5215
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc. | Past | Accepting new patients | |
| Lahey Clinic, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 52592 | MA | Yes |
Addresses
Primary practice location
Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001
Mailing address
Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001
Phone (781) 744-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6192394 | Medicaid | MA |
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All providers in Burlington, MA · Diagnostic Radiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.