Individual provider Active NPI

Bijan Sadrnoori, M.D.

  • Pulmonary Disease Physician
  • Methuen, MA
National Provider Identifier
1639135650
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
41344 Issued in MA
Practice address
411 Merrimack St
Suite 101
Methuen, MA 01844-5821
Phone
(978) 688-4665
Fax
(978) 682-8743
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 41344 MA Primary

Addresses

Primary practice location

411 Merrimack St
Suite 101
Methuen, MA 01844-5821

Mailing address

411 Merrimack St
Suite 101
Methuen, MA 01844-5821
Phone (978) 688-4665

Other identifiers 1

IdentifierTypeStateIssuer
3029051MedicaidMA

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
I20060418000252 MA Practitioner - Pulmonary Disease 2567471691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27 Charles St
Suite 1
North Andover, MA 01845-1664
Phone (978) 688-4665

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41344MAMDPulmonary Disease Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEJAA/Endpoint/AAEJAA

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 and National Provider Directory roles.

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1639135650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "SUITE 101",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-688-4665",
            "fax_number": "978-682-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "SUITE 101",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-688-4665",
            "fax_number": "978-682-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRNOORI",
        "first_name": "BIJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "41344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3029051",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.