Active NPI
Ronald S Nadel, M.D.
- Dermatology Physician
- Springfield, MA
National Provider Identifier
1821094715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 28852
- Practice address
- 3455 Main St
Ste 5
Springfield, MA 01107-1147 - Phone
- (413) 733-9600
- Fax
- (413) 732-6534
- NPI assigned
- Jun 24, 2005
- Last updated
- Apr 24, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 28852 | MA | Primary |
Addresses
Primary practice location
3455 Main St
Ste 5
Springfield, MA 01107-1147
Mailing address
3455 Main St
Ste 5
Springfield, MA 01107-1147
Phone (413) 733-9600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2885202202 | Other | CT | CONNECTICARE INC |
| 14674 | Other | HEALTH NEW ENGLAND | |
| NAC04404 | Other | MA | BLUE CROSS BLUE SHIELD |
| 070006824 | Other | RAILROAD MEDICARE | |
| 0304172 | Other | UNITED HEALTH CARE | |
| 028852 | Other | MA | TUFTS HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28852 | MA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1821094715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 MAIN ST",
"address_2": "STE 5",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071147",
"telephone_number": "413-733-9600",
"fax_number": "413-732-6534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 MAIN ST",
"address_2": "STE 5",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071147",
"telephone_number": "413-733-9600",
"fax_number": "413-732-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADEL",
"first_name": "RONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "28852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE INC",
"identifier": "2885202202",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "14674",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NAC04404",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070006824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0304172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "028852",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.