Individual provider Active NPI

Shaji Daniel, M.D.

  • Nephrology Physician
  • Springfield, MA
National Provider Identifier
1639384548
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
237483 Issued in MA
Practice address
100 Wason Ave
Suite 200
Springfield, MA 01107-1381
Phone
(413) 733-9666
Fax
(413) 750-3432
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 046979 CT
Nephrology Physician 207RN0300X 237483 MA Primary

Addresses

Primary practice location

100 Wason Ave
Suite 200
Springfield, MA 01107-1381

Mailing address

100 Wason Ave
Ste 200
Springfield, MA 01107-1179
Phone (413) 733-9666

Other identifiers 1

IdentifierTypeStateIssuer
2161826MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081103000725 MA Practitioner - Nephrology 0244399475 Reassigns benefits to 3 organizations
I20090303000492 CT Practitioner - NephrologyPractitioner - Internal Medicine 0244399475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

2 Hospital Dr
Suite 203
Holyoke, MA 01040-6614
Phone (413) 540-5048

51 Palomba Dr
Enfield, CT 06082-3801
Phone (860) 466-0064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046979CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New England Renal and Transplant Associates, P.C. Nephrology CurrentSince Jan 2, 2015 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Jan 10, 2025 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Jan 10, 2025 Accepting new patients

Locations

51 Palomba Dr
Enfield, CT 06082
Phone (860) 265-6521

701 Enfield St
Ste 160
Enfield, CT 06082
Phone (860) 749-5975

113 Elm St
Enfield, CT 06082
Phone (860) 253-5196

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

10 Hospital Dr
Ste 302
Holyoke, MA 01040
Phone (413) 534-2787

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

2 Hospital Dr
Ste 203
Holyoke, MA 01040
Phone (413) 535-4785

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

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

426 Winchester St
#B
Keene, NH 03431
Phone (603) 355-9998

Interoperability endpoints

  • Direct secure messaging: shaji.daniel@direct.hmcs.masshiway.net

Organizations & group practices 5

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 7

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1639384548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071179",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SHAJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "046979",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "237483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161826",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.