Organization Active NPI

Baystate Interventional Pain Physicians

  • Pain Medicine (Anesthesiology) Physician
  • West Bridgewater, MA
National Provider Identifier
1972193720
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BAYSTATE INTERVENTIONAL PAIN PHYSICIANS
Practice address
22 Pleasant St # 2N
West Bridgewater, MA 02379-1506
Phone
(508) 436-2555
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Dr. Sherif Algendy, MDNPI 1245293349
Title
MD
Phone
(508) 436-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

22 Pleasant St # 2N
West Bridgewater, MA 02379-1506

Mailing address

22 Pleasant St # 2N
West Bridgewater, MA 02379-1506
Phone (508) 436-2555

Other identifiers 1

IdentifierTypeStateIssuer
1245293349MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1972193720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PLEASANT ST # 2N",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791506",
            "telephone_number": "508-436-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PLEASANT ST # 2N",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791506",
            "telephone_number": "508-436-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE INTERVENTIONAL PAIN PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "ALGENDY",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "508-436-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245293349",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "22 Pleasant St # 2N",
            "city": "West Bridgewater",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023791506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.