Individual provider Active NPI

Nirmala Sambangi, M.D

  • Family Medicine Physician
  • Lawrence, MA
National Provider Identifier
1801806542
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233051 Issued in MA
Practice address
700 Essex St
Lawrence, MA 01841-4396
Phone
(978) 689-2400
Fax
(978) 683-3424
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL26382 SC
Family Medicine Physician 207Q00000X 233051 MA Primary

Addresses

Primary practice location

700 Essex St
Lawrence, MA 01841-4396

Mailing address

700 Essex St
Lawrence, MA 01841-4396
Phone (978) 689-2400

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
I20070824000296 MA Practitioner - Family Practice 7012913197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone (978) 683-0488

150 Park St
Lawrence, MA 01841-2517
Phone (978) 685-1770

34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090

700 Essex St
Lawrence, MA 01841-4398
Phone (978) 689-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233051MAMDFamily Medicine Physician
TL26382SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lawrence Family Health Center Inc CurrentSince Sep 4, 2007 Accepting new patients
Greater Lawrence Family Health Center, Inc. CurrentSince Sep 4, 2007 Accepting new patients
Lawrence General Hospital Past Accepting new patients
LG Newcorp Inc Past Accepting new patients

Locations

700 Essex St
Lawrence, MA 01841
Phone (978) 689-2400

34 Haverhill St
Lawrence, MA 01841

150 Park St
Lawrence, MA 01841
Phone (978) 685-1770

Interoperability endpoints

  • Direct secure messaging: nirmala.sambangi.1@23857.direct.athenahealth.com

Organizations & group practices 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1801806542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018414396",
            "telephone_number": "978-689-2400",
            "fax_number": "978-683-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018414396",
            "telephone_number": "978-689-2400",
            "fax_number": "978-683-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBANGI",
        "first_name": "NIRMALA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL26382",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "233051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.