Individual provider Active NPI

Shahla Asvadi, MD

  • Dermatology Physician
  • Framingham, MA
National Provider Identifier
1518000389
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
52195 Issued in MA
Practice address
140 Lincoln St.
Framingham, MA 01702
Phone
(508) 879-8128
Fax
(508) 879-3837
NPI assigned
Feb 14, 2007
Last updated
Mar 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 52195 MA Primary

Addresses

Primary practice location

140 Lincoln St.
Framingham, MA 01702

Mailing address

140 Lincoln St
Framingham, MA 01702-6306
Phone (508) 879-8128

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
I20050324000949 MA Practitioner - DermatologyPractitioner - Pathology 3375599111 Reassigns benefits to 1 organization
Practice locations: Framingham, MA

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 1970
Medicare assignment
May accept Medicare assignment
Group practices
Framingham DermatologyGroup PAC ID 8224364807, 5 clinicians

Practice addresses (Care Compare)

761 Worcester Rd
Suite 331
Framingham, MA 01701-5224
Phone (508) 644-0040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Framingham Dermatology Dermatology CurrentSince Apr 10, 2023 Accepting new patients

Locations

761 Worcester Rd
Ste 331
Framingham, MA 01701
Phone (508) 644-0040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1518000389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026306",
            "telephone_number": "508-879-8128",
            "fax_number": "508-879-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LINCOLN ST.",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-879-8128",
            "fax_number": "508-879-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASVADI",
        "first_name": "SHAHLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "52195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.