Individual provider Active NPI

Mansoor Anwer Zaidi, MD

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1861411647
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236499 Issued in MA
Practice address
447 Sumner Ave
Springfield, MA 01108-2320
Phone
(203) 678-8006
NPI assigned
Jul 19, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232468 NY
Internal Medicine Physician 207R00000X 236499 MA Primary
Internal Medicine Physician 207R00000X 50367 CT

Addresses

Primary practice location

447 Sumner Ave
Springfield, MA 01108-2320

Mailing address

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2570

Other practice location 1

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2570

Other identifiers 5

IdentifierTypeStateIssuer
02585899MedicaidNY
2117653OtherNYCIGNA
1245941OtherNYAETNA - HMO
7699782OtherNYAETNA - PPO
2117653OtherNYEMPIRE BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081027000805 MA Practitioner - Emergency MedicinePractitioner - Geriatric MedicinePractitioner - Hospitalist 2668434374 Reassigns benefits to 6 organizations
I20130221000014 CT Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2668434374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians
Vituity-Massachusetts PLLCGroup PAC ID 9032625207, 45 clinicians

Practice addresses (Care Compare)

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

447 Sumner Ave
Springfield, MA 01108-2320
Phone (203) 678-8006

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.32 of 100Reported as individual
Quality
82.16
Improvement activities
0
Cost
76.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Massachusetts PLLC Single Specialty CurrentSince Jul 14, 2025 Accepting new patients
Lakes/National Emergency Physicians Inc Single Specialty CurrentSince Mar 21, 2018 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. CurrentSince Oct 1, 2022 Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Dec 28, 2024 Accepting new patients
Henry Heywood Memorial Hospital Single Specialty CurrentSince May 1, 2018 Accepting new patients
Xpress Med Urgent Care LLC CurrentSince Jan 7, 2024 Accepting new patients
Athol Memorial Hospital Incorporated Single Specialty CurrentSince May 1, 2018 Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Dec 28, 2024 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Single Specialty Current Accepting new patients
Henry Heywood Memorial Hospital Single Specialty CurrentSince May 1, 2018 Accepting new patients
Xpress Med Urgent Care LLC Single Specialty CurrentSince Sep 4, 2023 Accepting new patients
Western Mass Physician Associates Inc Single Specialty Current Accepting new patients
Mansoor Anwer MD LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Virginia Emergency Physicians LLP Past Accepting new patients
Virginia Emergency Physicians LLP Past Accepting new patients
Massachusetts Em-1 Medical Services Single Specialty Past Accepting new patients
Columbia Healthcare of Central Virginia Inc Single Specialty PastSince Apr 1, 2019 Accepting new patients
Northern Indiana Emergency Physicians, LLP Single Specialty Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Single Specialty Past Accepting new patients
Virginia Emergency Physicians LLP Single Specialty Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Single Specialty Past Accepting new patients
CT Colony Emergency Physicians, LLC Single Specialty Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

1163 S Broad St
Wallingford, CT 06492
Phone (203) 284-9339

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

447 Sumner Ave
Springfield, MA 01108
Phone (203) 678-8006

Interoperability endpoints

  • Direct secure messaging: manwer@direct.wtbyhosp.org
  • Direct secure messaging: mzaidi4463212@direct.trinity-health.org

Organizations & group practices 22

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.

View all 22

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1861411647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2570",
            "fax_number": "413-534-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082320",
            "telephone_number": "203-678-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Beech St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010402223",
            "country_code": "US",
            "telephone_number": "413-534-2570",
            "fax_number": "413-534-2613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "MANSOOR",
        "middle_name": "ANWER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232468",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "236499",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "50367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02585899",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2117653",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "1245941",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PPO",
            "identifier": "7699782",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "2117653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.