Active NPI
Shaji Daniel, M.D.
- Nephrology Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 237483
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2161826 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- FMC Pioneer Valley Dialysis Center
- ARA-Ludlow Dialysis, LLC
- Holyoke Medical Center
- Baystate Medical Center
- Cooley Dickinson Hospital Inc,the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046979 | CT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New England Renal and Transplant Associates, P.C. | Nephrology | Current | Accepting new patients |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Holyoke Medical Center, Inc. | Current | Accepting new patients | |
| Western Mass Physician Associates Inc | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Chicopee, MA
- NPI 1922009547
-
- Nephrology Physician
- Springfield, MA
- NPI 1235535204
-
- Internal Medicine Physician
- Westfield, MA
- NPI 1366087363
-
- Nephrology Physician
- Springfield, MA
- NPI 1639160161
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ludlow, MA
- NPI 1588001820
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Springfield, MA
- NPI 1972512689
Dialysis facility
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.