Individual provider Active NPI

Sarwat F Dimitri, MD

  • Anesthesiology Physician
  • Framingham, MA
National Provider Identifier
1659352979
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
54795 Issued in MA
Practice address
115 Lincoln St
Framingham, MA 01702-6358
Phone
(508) 875-1600
Fax
(508) 875-1297
NPI assigned
Nov 14, 2005
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 54795 MA Primary

Addresses

Primary practice location

115 Lincoln St
Framingham, MA 01702-6358

Mailing address

400 Union Ave
Framingham, MA 01702-5889
Phone (508) 875-1600

Other identifiers 7

IdentifierTypeStateIssuer
3092241MedicaidMA
82971OtherMAAETNA US HEALTHCARE
5586023OtherMAAETNA
613824OtherMAHARVARD PILGRIM HEALTHCAR
2000005OtherMAUNITED HEALTHCARE
712124OtherMATUFTS HEALTHCARE
J12351DIOtherMABLUE CROSS/SHIELD MA

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
I20050503000012 MA Practitioner - Anesthesiology 2062451669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gbaa Holdings PLLCGroup PAC ID 4789944646, 22 clinicians

Practice addresses (Care Compare)

175 Worcester St
Wellesley, MA 02481-5514
Phone (617) 754-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54795MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gbaa Holdings, PLLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004

120 W Center St
West Bridgewater, MA 02379
Phone (508) 230-8181

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1659352979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025889",
            "telephone_number": "508-875-1600",
            "fax_number": "508-875-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026358",
            "telephone_number": "508-875-1600",
            "fax_number": "508-875-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRI",
        "first_name": "SARWAT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "54795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3092241",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "82971",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5586023",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "613824",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2000005",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHCARE",
            "identifier": "712124",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD MA",
            "identifier": "J12351DI",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.