Individual provider Active NPI

Mohammad Syed Ali Hazratji, MD

  • Neurology Physician
  • Holyoke, MA
National Provider Identifier
1578551966
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
47399 Issued in MA
Practice address
15 Hospital Dr
Ste 401
Holyoke, MA 01040-6606
Phone
(413) 534-5135
Fax
(413) 534-3328
NPI assigned
Oct 10, 2005
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 47399 MA Primary
Neurology Physician 2084N0400X 022745 CT

Addresses

Primary practice location

15 Hospital Dr
Ste 401
Holyoke, MA 01040-6606

Mailing address

15 Hospital Dr
Ste 401
Holyoke, MA 01040-6606
Phone (413) 534-5135

Other identifiers 5

IdentifierTypeStateIssuer
130000577OtherCTMEDICARE OF CT
1227453MedicaidCT
0151394MedicaidMA
M17327OtherMABLUESHIELD OF MA
P00114940OtherMARAILROAD MEDICARE

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
I20040206000191 MA Practitioner - Neurology 2961395538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

15 Hospital Dr
Suite 401
Holyoke, MA 01040-6606

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022745CTMDNeurology Physician
47399MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. CurrentSince Apr 14, 2024 Accepting new patients

Locations

10 Hospital Dr
Ste 305
Holyoke, MA 01040
Phone (413) 533-2452

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

Interoperability endpoints

  • Direct secure messaging: mhazratji2408866@direct.trinity-health.org
  • Direct secure messaging: mohammad.hazratji@direct.hmcs.masshiway.net

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 5

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1578551966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "STE 401",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406606",
            "telephone_number": "413-534-5135",
            "fax_number": "413-534-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "STE 401",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406606",
            "telephone_number": "413-534-5135",
            "fax_number": "413-534-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZRATJI",
        "first_name": "MOHAMMAD",
        "middle_name": "SYED ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "47399",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "022745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF CT",
            "identifier": "130000577",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1227453",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151394",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF MA",
            "identifier": "M17327",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00114940",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.