SHABER AHMAD SERAJ DO
NPI 1356044424
Student in an Organized Health Care Education/Training Program in Springfield, MA

Active since March 27, 2023PECOS Enrolled
759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2024, Mar 27, 2023 (2 updates tracked since 2023).

About Shaber Ahmad Seraj Do NPPES

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

SHABER AHMAD SERAJ DO (NPI 1356044424) is an individual student in an organized health care education/training program in Springfield, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356044424
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHABER AHMAD SERAJCredential: DO
Location Address759 CHESTNUT STSpringfield, MA 01199-0001
Mailing Address759 Chestnut StSpringfield, MA 01199-0001 · (413) 794-0000
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1356044424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 333369-01 (NY)
759 CHESTNUT ST, Springfield, MA 01199

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shaber Ahmad Seraj Do 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.

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.

Physician Assistant (Medical)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hospitalist
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Pharmacist
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hospitalist
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Psychiatry & Neurology (Psychiatry)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01199

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356044424, enumerated as an "individual" on March 27, 2023.

The provider is located at 759 CHESTNUT ST SPRINGFIELD, MA 01199 and the phone number is (413) 794-0000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.