Organization Active NPI

Springfield Family Practice, Inc

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1659389237
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SPRINGFIELD FAMILY PRACTICE, INC
Practice address
125 Liberty St
Suite 408
Springfield, MA 01103-1114
Phone
(413) 781-6410
Fax
(413) 781-6625
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Punyamurtula S Kishore, MD
Title
President
Phone
(617) 738-4640

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

125 Liberty St
Suite 408
Springfield, MA 01103-1114

Mailing address

59 Temple PL
Suite 612
Boston, MA 02111-1307
Phone (617) 264-9764

National Provider Directory

National Provider Directory

Locations

125 Liberty St
Ste 408
Springfield, MA 01103
Phone (413) 781-6410

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1659389237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TEMPLE PL",
            "address_2": "SUITE 612",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111307",
            "telephone_number": "617-264-9764",
            "fax_number": "617-264-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST",
            "address_2": "SUITE 408",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031114",
            "telephone_number": "413-781-6410",
            "fax_number": "413-781-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KISHORE",
        "authorized_official_first_name": "PUNYAMURTULA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-738-4640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.