Individual provider Active NPI

Mandana R. Namiranian, M.D.

  • Otolaryngology Physician
  • Quincy, MA
National Provider Identifier
1497913826
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
238572 Issued in MA
Practice address
500 Congress St
Suite 2B
Quincy, MA 02169-0908
Phone
(617) 774-1717
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 238572 MA Primary

Addresses

Primary practice location

500 Congress St
Suite 2B
Quincy, MA 02169-0908

Mailing address

500 Congress St
2B
Quincy, MA 02169
Phone (617) 774-1717

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
I20090407000342 MA Practitioner - Otolaryngology 7214084334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massachusetts Eye and Ear Associates, IncGroup PAC ID 4486540275, 430 clinicians

Practice addresses (Care Compare)

2 Lakeshore Ctr
Bridgewater, MA 02324-1077
Phone (617) 804-4738

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

500 Congress St
Suite 2B
Quincy, MA 02169-0960
Phone (617) 774-1717

Hospital & facility affiliations

  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye and Ear Associates, Inc. Otolaryngology CurrentSince Mar 1, 2016 Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients

Locations

800 Huntington Ave
Boston, MA 02115
Phone (617) 525-9544

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

2 Lakeshore Ctr
Bridgewater, MA 02324
Phone (617) 804-4738

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

500 Congress St
Ste 2B
Quincy, MA 02169
Phone (617) 573-6700

Interoperability endpoints

  • Direct secure messaging: namiranian.mandana.meei@direct.partners.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.

Hospital & facility affiliations 3

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1497913826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST",
            "address_2": "2B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-774-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST",
            "address_2": "SUITE 2B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690908",
            "telephone_number": "617-774-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMIRANIAN",
        "first_name": "MANDANA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "238572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.