Individual provider Active NPI

Wassim Mazraany, M.D.

  • Surgery Physician
  • Lowell, MA
National Provider Identifier
1700952314
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
016008 Issued in ME
Practice address
275 Varnum Ave Ste 203
Lowell, MA 01854-2109
Phone
(978) 458-4300
Fax
(978) 458-4311
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 016008 ME Primary

Addresses

Primary practice location

275 Varnum Ave Ste 203
Lowell, MA 01854-2109

Mailing address

275 Varnum Ave Ste 203
Lowell, MA 01854-2109
Phone (978) 458-4300

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
I20080916000413 MA Practitioner - General Surgery 7012807233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Surgical Associates, PCGroup PAC ID 8123263837, 9 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 458-1411

10 Research PL
Suite 101
North Chelmsford, MA 01863-2456
Phone (844) 484-4258

101 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

20 Research PL
North Chelmsford, MA 01863-2454
Phone (978) 788-7200

275 Varnum Ave
Suite 203
Lowell, MA 01854-2109
Phone (978) 458-4300

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Surgical Associates, PC Surgery CurrentSince Apr 1, 2013 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Jun 30, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 20, 2015 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Jun 30, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 20, 2015 Accepting new patients
The Lowell General Hospital Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

275 Varnum Ave
Ste 203
Lowell, MA 01854
Phone (978) 458-4300

161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867

33 Bartlett St
Ste 503
Lowell, MA 01852
Phone (978) 458-4300

20 Research Pl
North Chelmsford, MA 01863
Phone (978) 788-7200

2527 Cranberry Hwy
Ofc A98
Wareham, MA 02571
Phone (978) 453-8261

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

Interoperability endpoints

  • Direct secure messaging: wmazraany31616@tuftsmedicine.direct-ci.com
  • Direct secure messaging: wmazraany25154@direct.ctc.masshiway.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1700952314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542109",
            "telephone_number": "978-458-4300",
            "fax_number": "978-458-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542109",
            "telephone_number": "978-458-4300",
            "fax_number": "978-458-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZRAANY",
        "first_name": "WASSIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "016008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.