Individual provider Active NPI

Pramodhya Chirasevinupraphand, MD

  • Internal Medicine Physician
  • Ashland, MA
National Provider Identifier
1932197266
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041470 Issued in MA
Practice address
259 Main St
Ashland, MA 01721-2115
Phone
(508) 881-4368
Fax
(508) 881-6300
NPI assigned
Oct 11, 2005
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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 041470 MA Primary

Addresses

Primary practice location

259 Main St
Ashland, MA 01721-2115

Mailing address

259 Main St
Ashland, MA 01721-2115
Phone (508) 881-4368

Other identifiers 1

IdentifierTypeStateIssuer
0103934MedicaidMA

Other names 1

  • Mr. Pramod Chira Other name

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

LicenseStateTypeSpecialty
041470MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1932197266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MAIN ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017212115",
            "telephone_number": "508-881-4368",
            "fax_number": "508-881-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MAIN ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017212115",
            "telephone_number": "508-881-4368",
            "fax_number": "508-881-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRASEVINUPRAPHAND",
        "first_name": "PRAMODHYA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "041470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103934",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAMOD",
            "last_name": "CHIRA",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.