Individual provider Active NPI

Ata Ollah Hassani Afshar, M.D.

  • Anesthesiology Physician
  • Pawtucket, RI
National Provider Identifier
1982903555
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD15321 Issued in RI
Practice address
200 Main St
Suite 350
Pawtucket, RI 02860
Phone
(401) 726-7300
Fax
(401) 726-7330
NPI assigned
Mar 22, 2011
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD15321 RI Primary

Addresses

Primary practice location

200 Main St
Suite 350
Pawtucket, RI 02860

Mailing address

200 Main St
Suite 350
Pawtucket, RI 02860
Phone (401) 726-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160803000653 RI Practitioner - Anesthesiology 0345534038 Reassigns benefits to 2 organizations
I20190903002148 MA Practitioner - Anesthesiology 0345534038 Reassigns benefits to 2 organizations
I20220316003433 NC Practitioner - Anesthesiology 0345534038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15321RIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jul 25, 2019 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Steward Medical Group, Inc Anesthesiology CurrentSince Jul 25, 2019 Accepting new patients
Clinical Colleagues LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

77 Warren St
Fl 4
Brighton, MA 02135
Phone (617) 562-5450

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 5

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.

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1982903555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 350",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-726-7300",
            "fax_number": "401-726-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 350",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-726-7300",
            "fax_number": "401-726-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANI AFSHAR",
        "first_name": "ATA OLLAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "MD15321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.