Individual provider Active NPI

Ganary Dabiri, MD/PHD

  • Dermatology Physician
  • Milford, MA
National Provider Identifier
1780975482
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
CMD15645 Issued in RI
Practice address
1 Maple St
Milford, MA 01757-5614
Phone
(508) 478-2610
Fax
(508) 478-2667
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X CMD15645 RI Primary

Addresses

Primary practice location

1 Maple St
Milford, MA 01757-5614

Mailing address

825 Chalkstone Ave
Providence, RI 02908-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170825001825 RI Practitioner - DermatologyPractitioner - Internal Medicine 7517239585 Reassigns benefits to 1 organization
I20210303002911 MA Practitioner - Dermatology 7517239585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Louis Kuchnir MD PCGroup PAC ID 0143270868, 17 clinicians

Practice addresses (Care Compare)

1 Maple St
Milford, MA 01757-5614
Phone (508) 478-2610

Hospital & facility affiliations

  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions460
Removal or shaving of skin growth20
Skin biopsy345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CMD15645RIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Kuchnir MD PC Dermatology CurrentSince Feb 15, 2021 Accepting new patients
Prospect Chartercare Physicians, LLC Dermatology CurrentSince Sep 1, 2017 Accepting new patients

Locations

125 Newbury St
Framingham, MA 01701
Phone (508) 270-6020

11 Apex Dr
Ste 103A
Marlborough, MA 01752
Phone (508) 485-7779

1 Maple St
Milford, MA 01757
Phone (508) 478-2610

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Organizations & group practices 2

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1780975482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAPLE ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017575614",
            "telephone_number": "508-478-2610",
            "fax_number": "508-478-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABIRI",
        "first_name": "GANARY",
        "name_prefix": "Dr.",
        "credential": "MD/PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "CMD15645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.