Individual provider Active NPI

Phanthila Singhaviranon, MD

  • Pediatrics Physician
  • Springfield, MA
National Provider Identifier
1679692438
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
238541 Issued in MA
Practice address
50 Wason Ave
Springfield, MA 01107-1274
Phone
(413) 794-2515
Fax
(413) 794-5673
NPI assigned
Mar 29, 2007
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 238541 MA Primary

Addresses

Primary practice location

50 Wason Ave
Springfield, MA 01107-1274

Mailing address

280 Chestnut St
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700

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
I20090303000451 MA Practitioner - Pediatric Medicine 6305813643 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238541MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Pediatrics CurrentSince Aug 8, 2011 Accepting new patients

Locations

140 High St
Springfield, MA 01105
Phone (413) 495-1500

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

50 Wason Ave
Springfield, MA 01107
Phone (413) 794-2515

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

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1679692438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WASON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071274",
            "telephone_number": "413-794-2515",
            "fax_number": "413-794-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGHAVIRANON",
        "first_name": "PHANTHILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "238541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.