Individual provider Active NPI

Jamshed Anvari, M.D.

  • Internal Medicine Physician
  • Methuen, MA
National Provider Identifier
1821124405
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70964 Issued in MA
Practice address
411 Merrimack St
Suite 105
Methuen, MA 01844-5821
Phone
(978) 682-2808
NPI assigned
Feb 26, 2007
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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 70964 MA Primary

Addresses

Primary practice location

411 Merrimack St
Suite 105
Methuen, MA 01844-5821

Mailing address

411 Merrimack St
Suite 105
Methuen, MA 01844-5821
Phone (978) 682-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70964MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abass Medical Associates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamshed.anvari.1@8526.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1821124405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "SUITE 105",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-682-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "address_2": "SUITE 105",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445821",
            "telephone_number": "978-682-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANVARI",
        "first_name": "JAMSHED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "70964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.