Organization Active NPI

Anand Kanjolia, M.D. LLC

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1639675077
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80714 Issued in MA
Legal business name
ANAND KANJOLIA, M.D. LLC
Practice address
299 Carew Street
Springfield, MA 01104-2367
Phone
(413) 507-2070
Fax
(413) 734-5454
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Dr. Anand Kanjolia, MDNPI 1861465593
Title
President
Phone
(413) 507-2070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 80714 MA Primary

Addresses

Primary practice location

299 Carew Street
Springfield, MA 01104-2367

Mailing address

299 Carew St Ste 326
Springfield, MA 01104-2367
Phone (413) 507-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514000100 MA Part B Supplier - Clinic/Group Practice 3375807688 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MA

National Provider Directory

National Provider Directory

Locations

299 Carew St
Ste 326
Springfield, MA 01104
Phone (413) 507-2070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1639675077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 326",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042367",
            "telephone_number": "413-507-2070",
            "fax_number": "413-734-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042367",
            "telephone_number": "413-507-2070",
            "fax_number": "413-734-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAND KANJOLIA, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "KANJOLIA",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-507-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80714",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.