Individual provider Active NPI

Hamid Reza Danesh, MD

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1811961196
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223435 Issued in MA
Practice address
585 Merrimack St
Lowell Community Health Center
Lowell, MA 01854
Phone
(978) 746-7778
Fax
(978) 970-0359
NPI assigned
Feb 14, 2006
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223435 MA Primary

Addresses

Primary practice location

585 Merrimack St
Lowell Community Health Center
Lowell, MA 01854

Mailing address

585-597 Merrimack St
Lowell Community Health Center
Lowell, MA 01854
Phone (978) 746-7778

Other identifiers 11

IdentifierTypeStateIssuer
042881348OtherUNICARE
13305557MedicaidMA
3989627OtherAETNA
966127OtherNETWORK HEALTH
J29212OtherBLUE CROSS BLUE SHIELD
042881348OtherBEECH STREET
MX9720OtherMAMEDICARE PTAN
0036399OtherNEIGHBORHOOD HEALTH PLAN
494257OtherTUFTS
90957OtherFALLON
AA42182OtherHARVARD PILGRIM HEALTH CA

Other names 1

  • Hamidreza Danesh Other name

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
I20050922000710 MA Practitioner - Internal Medicine 3779517321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lowell General Inpatient Specialists PLLCGroup PAC ID 8729371380, 70 clinicians

Practice addresses (Care Compare)

200 Central St
Unit 2
Lowell, MA 01852-2201
Phone (978) 446-7982

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6439

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223435MAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell General Inpatient Specialists PLLC Internal Medicine CurrentSince May 10, 2016 Accepting new patients
Vibra Physicians LLC CurrentSince Dec 27, 2014 Accepting new patients
The Lowell General Hospital Past Accepting new patients

Locations

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

4499 Acushnet Ave
New Bedford, MA 02745
Phone (508) 207-4274

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

1400 State St
Springfield, MA 01109
Phone (413) 726-6118

1 Harbison Way
Ste 222
Columbia, SC 29212

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1811961196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585-597 MERRIMACK ST",
            "address_2": "LOWELL COMMUNITY HEALTH CENTER",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-746-7778",
            "fax_number": "978-970-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MERRIMACK ST",
            "address_2": "LOWELL COMMUNITY HEALTH CENTER",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-746-7778",
            "fax_number": "978-970-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "042881348",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13305557",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3989627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "966127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J29212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "042881348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "MX9720",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0036399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "494257",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "90957",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "AA42182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMIDREZA",
            "last_name": "DANESH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.