Provider Type Icon

DEBRA A. DISANDRO M.D. NPI 1043219397


NPI Information

NPI: 1043219397
Provider Name: DEBRA A. DISANDRO, M.D.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
3550 MAIN ST STE 302
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 781-8290
Get Directions

Debra A. Disandro, M.D. is an obstetrics obstetrics gynecology in Springfield, MA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee Debra A. Disandro, M.D. NPI is 1043219397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3550 MAIN ST STE 302
SPRINGFIELD, MA
ZIP 01107-088
Phone: (413) 781-8290
Fax: (413) 737-8540

The NPI 1043219397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 3/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics52978MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DIJ06185OTHERMASSACHUSETTSBLUE SHIELD OF MASS
207-04622OTHERMASSACHUSETTSUNITED HEALTHCARE
3130705OTHERMASSACHUSETTSPILGRIM
4000006311OTHERMASSACHUSETTSBMC HEALTHNET
5717957OTHERMASSACHUSETTSTUFTS
6037323836OTHERMASSACHUSETTSTRICARE
7160039235OTHERMASSACHUSETTSRR MEDICARE
8484978OTHERMASSACHUSETTSCONNECTICARE
90010789OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH
1011833OTHERMASSACHUSETTSHEALTH NEW ENGLAND
11782507OTHERMASSACHUSETTSUS HEALTHCARE
123017699MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.