Individual provider Active NPI

Sidney L Kahn IV, MD

  • Vascular & Interventional Radiology Physician
  • Springfield, MA
National Provider Identifier
1750599700
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
247424 Issued in MA
Practice address
3500 Main St
Suite 201
Springfield, MA 01107-1137
Phone
(413) 794-0900
Fax
(413) 794-2996
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 247424 MA Primary

Addresses

Primary practice location

3500 Main St
Suite 201
Springfield, MA 01107-1137

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110620000256 MA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6002960473 Reassigns benefits to 4 organizations
I20190318001108 CT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002960473 Reassigns benefits to 3 organizations
I20220818000464 MA Practitioner - Interventional RadiologyPractitioner - General Surgery 6002960473

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Imaging Specialists LLCGroup PAC ID 9234676164, 47 clinicians
S Lowell Kahn MD PCGroup PAC ID 1153602990, 5 clinicians
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (203) 426-3002

140 Hazard Ave
Suite 106
Enfield, CT 06082-5424
Phone (860) 272-4726

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

86 Ashley Ave
West Springfield, MA 01089-1302
Phone (413) 693-2852

Hospital & facility affiliations

  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)75
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247424MAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc Current Accepting new patients
Western Mass Physician Associates Inc CurrentSince Dec 1, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Dec 1, 2024 Accepting new patients
S. Lowell Kahn MD PC Vascular & Interventional Radiology CurrentSince Dec 1, 2016 Accepting new patients
Advanced Imaging Specialists, LLC CurrentSince Sep 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Vascular & Interventional Radiology CurrentSince Oct 17, 2016 Accepting new patients
Premier Imaging LLC CurrentSince Mar 1, 2024 Accepting new patients
Palm Beach Radiology Professionals, PA Past Accepting new patients

Locations

140 Hazard Ave
Ste 106
Enfield, CT 06082
Phone (860) 272-2960

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

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

86 Ashley Ave
West Springfield, MA 01089
Phone (413) 693-2852

Organizations & group practices 9

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 8

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1750599700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "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": "3500 MAIN ST",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071137",
            "telephone_number": "413-794-0900",
            "fax_number": "413-794-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN IV",
        "first_name": "SIDNEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "247424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.