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DR. SETANA ABUBAKR IDRISS MD
NPI 1427518521
Internal Medicine - Endocrinology, Diabetes & Metabolism in Springfield, MA

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
3300 MAIN STREET, 3RD FL, SUITE A, SPRINGFIELD, MA 01107(413) 794-7031(413) 794-7133 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Jul 15, 2022, Mar 23, 2019 (3 updates tracked since 2019).

About Dr. Setana Abubakr Idriss Md NPPES

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

DR. SETANA ABUBAKR IDRISS MD (NPI 1427518521) is an individual endocrinology, diabetes & metabolism provider in Springfield, Massachusetts, licensed in Massachusetts (1019604) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Baystate Noble Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1427518521
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SETANA ABUBAKR IDRISSCredential: MD
Location Address3300 MAIN STREET, 3RD FL, SUITE ASpringfield, MA 01107-1112
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-7031
Fax(413) 794-7133
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 23, 2019
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1427518521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MA · 1019604
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3300 MAIN STREET, Springfield, MA 01107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Setana Abubakr Idriss Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668703653
PECOS Enrollment IDI20240611000902, I20251211002715
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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.

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.

DANIELLE ELISABETH DESERRES PA-C
Physician Assistant (Medical)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
KATHARINE A GREEN CNM
Advanced Practice Midwife
3300 MAIN STREET, SUITE 4D
SPRINGFIELD, MA 01107
Hampden County (413) 794-8336
STUART ALAN ANFANG M.D.
Psychiatry & Neurology (Psychiatry)
3300 MAIN STREET, SUITE 3C & 3D
SPRINGFIELD, MA 01107
Hampden County (413) 794-7035
KATHLEEN A KANG NP
Nurse Practitioner (Family)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
MRS. ELLEN ELIZABETH HAYNES JOHNSON M.S.
Psychologist
3300 MAIN STREET, 4A
SPRINGFIELD, MA 01107
Hampden County (413) 794-7035
DALLAS SELTZER PA
Physician Assistant (Medical)
3300 MAIN STREET, 3RD FL, SUITE C&D
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
ANNA LOUISE PASKAUSKY N.P.
Nurse Practitioner (Family)
3300 MAIN STREET, 3RD FL, SUITE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-7364
MS. JULIE RAE BERMANT NP
Nurse Practitioner (Psychiatric/Mental Health)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Setana Idriss's NPI number?

The NPI number for Setana Idriss is 1427518521. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Setana Idriss located?

Setana Idriss practices at 3300 Main Street 3rd Fl, Suite A, Springfield, MA 01107. The listed phone number is (413) 794-7031.

What is Setana Idriss's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Setana Idriss enrolled in Medicare?

Yes. Setana Idriss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Setana Idriss affiliated with any hospitals?

According to CMS data, Setana Idriss is affiliated with Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Setana Idriss was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.