Organization Active NPI

Infectious Diseases Associates, PC

  • Infectious Disease Physician
  • Methuen, MA
National Provider Identifier
1497930085
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
223439 Issued in MA
Legal business name
INFECTIOUS DISEASES ASSOCIATES, PC
Practice address
380R Merrimack St
Suite 2B
Methuen, MA 01844
Phone
(978) 689-2510
Fax
(978) 689-3510
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Venugopal R. Saddi, MDNPI 1194754309
Title
Owner
Phone
(978) 689-2510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 223439 MA Primary

Addresses

Primary practice location

380R Merrimack St
Suite 2B
Methuen, MA 01844

Mailing address

380R Merrimack St
Suite 2B
Methuen, MA 01844
Phone (978) 689-2510

Other identifiers 2

IdentifierTypeStateIssuer
9787739MedicaidMA
DN6781OtherMARAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000203 MA Part B Supplier - Clinic/Group Practice 0042391625 Receives reassigned benefits from 3 practitioners
Practice locations: Methuen, MA

National Provider Directory

National Provider Directory

Locations

380R Merrimack St
Ste 2B
Methuen, MA 01844
Phone (978) 689-2510

411 Merrimack St
Ste 201
Methuen, MA 01844
Phone (978) 691-5160

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1497930085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST",
            "address_2": "SUITE 2B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-689-2510",
            "fax_number": "978-689-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST",
            "address_2": "SUITE 2B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-689-2510",
            "fax_number": "978-689-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SADDI",
        "authorized_official_first_name": "VENUGOPAL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-689-2510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "223439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787739",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DN6781",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.