Active NPI
Nasser Majid Shirazi, MD
- Nephrology Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 051133
- Practice address
- 263 Farmington Avenue
Farmington, CT 06030-3835 - Phone
- (860) 679-4888
- Fax
- (860) 679-1153
- NPI assigned
- Jan 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51133 | CT | |
| Nephrology Physician | 207RN0300X | 051133 | CT | Primary |
Addresses
Primary practice location
263 Farmington Avenue
Farmington, CT 06030-3835
Mailing address
263 Farmington Avenue
Farmington, CT 06030-3835
Phone (860) 679-4888
Other practice location 1
450 Clarkson Ave Dept Of
Brooklyn, NY 11203-2012
Phone (718) 270-2848
Other practice location 2
117 Albany Turnpike
Canton, CT 06019
Phone (860) 679-4888
Other practice location 3
836 Hopmedow Street
Simsbury, CT 06070
Phone (860) 679-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51133 | Other | CT | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nshirazi45995@direct.stfranciscare.org | Direct | |
| Direct Messaging Address | nshirazi70248@direct.med.uchc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051133 | CT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Internal Medicine | Current | Accepting new patients |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| University of Connecticut Health Center | Past | Accepting new patients | |
| HHC Physician Services, PLLC | Past | Accepting new patients |
Locations
117 Albany Tpke
Canton, CT 06019
Phone (860) 658-3444
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
836 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519
Interoperability endpoints
- nshirazi70248@direct.med.uchc.edu
- nasser.shirazi@xdr.hhchealthdirect.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.
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
Internal Medicine
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Pulmonary Disease Physician
- Guilford, CT
- NPI 1962212779
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Avon, CT
- NPI 1134773617
Dialysis facility
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1811228976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060303835",
"telephone_number": "860-679-4888",
"fax_number": "860-679-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060303835",
"telephone_number": "860-679-4888",
"fax_number": "860-679-1153"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave Dept Of",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-2848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 Albany Turnpike",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "CT",
"postal_code": "06019",
"country_code": "US",
"telephone_number": "860-679-4888",
"fax_number": "860-679-1153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "836 Hopmedow Street",
"address_purpose": "LOCATION",
"city": "Simsbury",
"state": "CT",
"postal_code": "06070",
"country_code": "US",
"telephone_number": "860-679-4888",
"fax_number": "860-679-1153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIRAZI",
"first_name": "NASSER",
"middle_name": "MAJID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-28",
"last_updated": "2023-08-01",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "51133",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "051133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "51133",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nshirazi45995@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "Trinity Health of New England Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "114 Woodland St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061051208",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nshirazi70248@direct.med.uchc.edu",
"affiliation": "N",
"address_1": "263 Farmington Avenue",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060303835",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.