Individual provider Active NPI

Nasser Majid Shirazi, MD

  • Nephrology Physician
  • Farmington, CT
National Provider Identifier
1811228976
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
051133 Issued in CT
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

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51133OtherCTLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209000678 CT Practitioner - NephrologyPractitioner - Hospitalist 0840456521 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
051133CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Internal Medicine CurrentSince Nov 4, 2023 Accepting new patients
University of Connecticut Health Center CurrentSince Nov 4, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Dec 13, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Dec 13, 2020 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
HHC Physician Services, PLLC PastSince Aug 22, 2022 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

  • Direct secure messaging: nshirazi70248@direct.med.uchc.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.