DR. EBRAHIM NADEEM GHAZALI MD
NPI 1194110379
Pediatrics in Springfield, MA

Q: What is Ebrahim Ghazali's NPI number?

The NPI number for Ebrahim Ghazali is 1194110379. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Q: What is Ebrahim Ghazali's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ebrahim Ghazali was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2015PECOS Enrolled

1049 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100(413) 735-1133 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2023, Nov 8, 2018 (2 updates tracked since 2018).

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About Dr. Ebrahim Nadeem Ghazali Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EBRAHIM NADEEM GHAZALI MD (NPI 1194110379) is an individual pediatrics provider in Springfield, Massachusetts, licensed in Massachusetts (295186) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1194110379

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. EBRAHIM NADEEM GHAZALICredential: MD

Location Address1049 MAIN STSpringfield, MA 01103-2114

Mailing Address1049 Main StSpringfield, MA 01103-2114 · (413) 739-1100 · Fax (413) 735-1133

Phone(413) 739-1100

Fax(413) 735-1133

Sole ProprietorNo

Enumeration DateApril 3, 2015

Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1194110379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MA · 295186✔ Licensed in TX · R7999

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1049 MAIN ST, Springfield, MA 01103

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Secondary Practice Location 1

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (214) 456-7000

Other Identifiers 2

Medicaid110168272AMA

OtherR7999TX · Texas Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ebrahim Nadeem Ghazali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISMAEL JOEL CINTRON GONZALEZ LCSW

Social Worker (Clinical)