NPIMap

Individual provider Active NPI

Nazanin Jelveh Ronan, M.D.

  • Internal Medicine Physician
  • Sandwich, MA
National Provider Identifier
1720076466
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
158719 Issued in MA
Practice address
2 Jan Sebastian Way
Sandwich, MA 02563-2377
Phone
(508) 833-8247
Fax
(508) 833-6535
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 158719 MA Primary

Addresses

Primary practice location

2 Jan Sebastian Way
Sandwich, MA 02563-2377

Mailing address

107 Commercial St
Mashpee, MA 02649-6507
Phone (508) 539-6000

Other identifiers 1

IdentifierTypeStateIssuer
9707280MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000912 MA Practitioner - Internal Medicine 7416984125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Cape Cod, Inc.Group PAC ID 4486699568, 40 clinicians

Practice addresses (Care Compare)

123 Waterhouse Rd
Bourne, MA 02532-3890
Phone 50847770901103

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Bayada Home Health Care Inc Home health agency, Plymouth, MA, CCN 227537
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158719MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Cape Cod, Inc. Current Accepting new patients
Community Health Center of Cape Cod, Inc. CurrentSince May 1, 2013 Accepting new patients
Community Health Center of Cape Cod Inc CurrentSince May 1, 2013 Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine Past Accepting new patients
Signature Healthcare Medical Group Inc Internal Medicine Past Accepting new patients

Locations

123 Waterhouse Rd
Bourne, MA 02532
Phone (508) 539-6000

107 Commercial St
Mashpee, MA 02649
Phone (508) 539-6000

Interoperability endpoints

  • Direct secure messaging: nronan134883@direct.ochin.org

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1720076466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMERCIAL ST",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496507",
            "telephone_number": "508-539-6000",
            "fax_number": "508-477-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAN SEBASTIAN WAY",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632377",
            "telephone_number": "508-833-8247",
            "fax_number": "508-833-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN",
        "first_name": "NAZANIN",
        "middle_name": "JELVEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "158719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9707280",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

Verify at the official NPI Registry.