Solmaz Masoudi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA5726 Issued in MA

Practice address

1515 Allen St
Suite B
Springfield, MA 01118-1803

Phone

(413) 782-7646

Fax

(413) 782-7558

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Afc Physicians of Massachusetts, PCGroup PAC ID 9234321308, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Afc Physicians of Massachusetts, PC

  • Urgent Care Clinic/Center
  • Springfield, MA
  • NPI 1902123276
  Medicare reassignment Care Compare group
• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Medicare reassignment NPD
• Afc Physicians of Massachusetts, PC

  • Urgent Care Clinic/Center
  • Worcester, MA
  • NPI 1740672989
  Medicare reassignment
• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment
• Afc Physicians of Massachusetts, PC

  • Urgent Care Clinic/Center
  • Saugus, MA
  • NPI 1871865709
  NPD
• Berkshire Medical Center Inc.

  • Community/Retail Pharmacy
  • North Adams, MA
  • NPI 1932649753
  NPD
• DRX UC Worcester PC

  • Urgent Care Clinic/Center
  • Worcester, MA
  • NPI 1720458383
  NPD
• Fairview Hospital

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD
• Sumner Pediatrics PC

  • Pediatrics Physician
  • Springfield, MA
  • NPI 1235246166
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1558717439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ALLEN ST",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181803",
            "telephone_number": "413-782-7646",
            "fax_number": "413-782-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ALLEN ST",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181803",
            "telephone_number": "413-782-7646",
            "fax_number": "413-782-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOUDI",
        "first_name": "SOLMAZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043237669",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gale M Mason, NP
• Holly S Mason, M.D.
• James Mason
• Theodore P Mason, MD
• Julia Masotti
• Mass Hearing Specialists
• Mass Nova Medical Supplies LLC
• Mass Senior Care LLC Civility Home Care
• Massachusetts Detox
• Mostapha Massaee, MD

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.