NPIMap

Individual provider Active NPI

Deepak K Sanan, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Norwood, MA
National Provider Identifier
1902803950
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
76812 Issued in MA
Practice address
825 Washington St
Suite 320
Norwood, MA 02062-3441
Phone
(781) 762-1719
Fax
(781) 769-1049
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 76812 MA Primary

Addresses

Primary practice location

825 Washington St
Suite 320
Norwood, MA 02062-3441

Mailing address

825 Washington St
Suite 320
Norwood, MA 02062-3441
Phone (781) 762-1719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110512000809 MA Practitioner - Internal MedicinePractitioner - Endocrinology 9133105166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

511 W Grove St
201 Revere Medical Middleboro Primary Care
Middleboro, MA 02346-1458
Phone (508) 923-6471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76812MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 1, 2021 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Nov 5, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2021 Accepting new patients
Signature Healthcare Medical Group Inc Endocrinology, Diabetes & Metabolism PastSince Jan 1, 2004 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

511 W Grove St
Ste 201
Middleboro, MA 02346
Phone (508) 947-7600

825 Washington St
Ste 240
Norwood, MA 02062
Phone (508) 668-4376

825 Washington St
Ste 340
Norwood, MA 02062
Phone (781) 762-6581

825 Washington St
Ste 320
Norwood, MA 02062
Phone (781) 762-4838

Interoperability endpoints

  • Direct secure messaging: deepak.sanan.1@32866.direct.athenahealth.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 7

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1902803950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON ST",
            "address_2": "SUITE 320",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-762-1719",
            "fax_number": "781-769-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON ST",
            "address_2": "SUITE 320",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-762-1719",
            "fax_number": "781-769-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAN",
        "first_name": "DEEPAK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "76812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.