Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194110379 Individual Practitioner Male Practitioner

Dr. Ebrahim Nadeem Ghazali , MD

Pediatrics • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. Ebrahim Ghazali, MD is a registered healthcare professional specializing in Pediatrics in Springfield, MA. Practice services are available at 1049 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1049 Main St

Springfield, MA 011032114

Telephone 4137391100
Fax 4137351133
Associated Practice Facility / Clinic
🏢 Caring Health Center Inc Facility NPI 1013336247

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
89 Specialists

Practicing in Springfield, MA (2760 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 295186

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX R7999

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110168272A (MA)
Commercial Insurance / Payer ID Texas Medical License
R7999 (TX)

Secondary Practice Locations

1935 Medical District Dr

Dallas, TX 752357701

Phone: 2144567000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ismael Cintron Gonzalez , LCSW

Social Worker - Clinical

NPI 1003289927

Licensed Clinical Social Worker

Karina Kovalevich , RN, BSN, MSN, FNP-BC

Nurse Practitioner - Family

NPI 1013517887

Registered Nurse, Bachelor of Science in Nursing, Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

NPI 1043449556

Doctor of Dental Medicine

Sushma Gurung , NP

Nurse Practitioner - Family

NPI 1043563653

Nurse Practitioner

Austin Kirby

Registered Nurse - Community Health

NPI 1083551220
Karen Reuter , RN

Registered Nurse

NPI 1104771401

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 03, 2023

Registered at 1049 MAIN ST, SPRINGFIELD, MA 011032114 (Tel: 4137391100)

📍
Updated Business Mailing Address January 03, 2023

Registered at 1049 MAIN ST, SPRINGFIELD, MA 011032114 (Tel: 4137391100)

📍
Updated Practice Location November 08, 2018

Registered at 1935 MEDICAL DISTRICT DR, DALLAS, TX 752357701 (Tel: 2144567000)

📍
Updated Business Mailing Address November 08, 2018

Registered at 1935 MEDICAL DISTRICT DR, DALLAS, TX 752357701

👤
Provider Name / Credentials Updated November 08, 2018

Recorded as EBRAHIM GHAZALI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Pediatrics (License #R7999 in TX)

NPI Profile Active April 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2015

Registered at 333 N SANTA ROSA ST, CCF F3725, SAN ANTONIO, TX 782073108 (Tel: 2107043910)

📍
Updated Business Mailing Address April 03, 2015

Registered at 333 N SANTA ROSA ST, CCF F3725, SAN ANTONIO, TX 782073108 (Tel: 2107043910)

👤
Provider Name / Credentials Updated April 03, 2015

Recorded as MOHAMMED GHAZALI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194110379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2015
Last Update: January 03, 2023
Sole Proprietor: No

Mailing Address

1049 Main St

Springfield, MA 011032114

Phone: 4137391100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.