Individual provider Active NPI

Anand Kanjolia, MD

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1861465593
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80714 Issued in MA
Practice address
299 Carew St Ste 326
Springfield, MA 01104-2367
Phone
(413) 507-2070
Fax
(413) 734-5454
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 80714 MA Primary

Addresses

Primary practice location

299 Carew St Ste 326
Springfield, MA 01104-2367

Mailing address

299 Carew St Ste 326
Springfield, MA 01104-2367
Phone (413) 507-2070

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
I20060130000824 MA Practitioner - Internal Medicine 2567445844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

299 Carew St
Springfield, MA 01104-2367
Phone (413) 507-2070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NVR & SDD Convenient Care PC CurrentSince Dec 15, 2023 Accepting new patients
Anand Kanjolia, M.D. LLC Internal Medicine CurrentSince Apr 5, 2018 Accepting new patients
Kidney Care and Transplant Services of New England, PC Past Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine PastSince Aug 17, 2020 Accepting new patients

Locations

137 Turnpike St
North Andover, MA 01845

339 Squire Rd
Ste 130
Revere, MA 02151
Phone (617) 580-9116

222 Carew St
Fl 4
Springfield, MA 01104
Phone (413) 781-1186

299 Carew St
Ste 326
Springfield, MA 01104
Phone (413) 507-2070

222 Carew St
Springfield, MA 01104
Phone (413) 732-4210

222 Carew St
#4
Springfield, MA 01104
Phone (413) 781-1186

222 Carew St
Ste 401
Springfield, MA 01104
Phone (413) 781-1186

Interoperability endpoints

  • Direct secure messaging: anand.kanjolia@glacecentral.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1861465593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 326",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042367",
            "telephone_number": "413-507-2070",
            "fax_number": "413-734-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 326",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042367",
            "telephone_number": "413-507-2070",
            "fax_number": "413-734-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJOLIA",
        "first_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.