PIONEER VALLEY NEPHROLOGY PC NPI 1548206626

NPI Information

  • NPI: 1548206626
  • Provider Name: PIONEER VALLEY NEPHROLOGY, PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 300 STAFFORD ST
    SUITE 161
    SPRINGFIELD, MA
    ZIP 01104
  • Phone: (413) 787-0090

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NPI Details

PIONEER VALLEY NEPHROLOGY, PC is a nephrology internal medicine in Springfield, MA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PIONEER VALLEY NEPHROLOGY, PC NPI is 1548206626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 STAFFORD ST
SUITE 161
SPRINGFIELD, MA
ZIP 01104-581
Phone: (413) 787-0090
Fax: (413) 787-0089

The provider's authorized official is Crystal Gillis .
The authorized official title is Billing Manager and has the following contact phone number (413) 787-0090.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 1/17/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M17055OTHERMASSACHUSETTSBCBS GROUP NUMBER
2C02760MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTCT GROUP NUMBER
3003109932MEDICAIDCONNECTICUT
4M20833MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSGROUP MEDICARE NUMBER
59709312MEDICAIDMASSACHUSETTS

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: 11/21/2025

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