Individual provider Active NPI

Nadeem Afridi, MD

  • Cardiovascular Disease Physician
  • Newburyport, MA
National Provider Identifier
1619961372
Registry record updated Sep 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
78302 Issued in MA
Practice address
37 1/2 Forrester St
Newburyport, MA 01950-1938
Phone
(978) 462-2219
Fax
(978) 462-2281
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 78302 MA Primary

Addresses

Primary practice location

37 1/2 Forrester St
Newburyport, MA 01950-1938

Mailing address

37 1/2 Forrester St
Newburyport, MA 01950-1938
Phone (978) 462-2219

Other identifiers 3

IdentifierTypeStateIssuer
30205072MedicaidNH
J14205MedicaidME
3117081MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221111001166 CA Practitioner - Internal Medicine 8628040268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Jul 28, 2022 Accepting new patients
Clipper Cardiovascular Associates, Inc Cardiovascular Disease Past Accepting new patients

Locations

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Interoperability endpoints

  • Direct secure messaging: nadeem.afridi.p2@direct.mydohc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315094400000",
    "number": "1619961372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 1/2 FORRESTER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501938",
            "telephone_number": "978-462-2219",
            "fax_number": "978-462-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 1/2 FORRESTER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501938",
            "telephone_number": "978-462-2219",
            "fax_number": "978-462-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFRIDI",
        "first_name": "NADEEM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "78302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205072",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J14205",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117081",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.