Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Omar Ezziddin, MD

Individual provider Anesthesiology Physician · NPI 1821232901

Dr. Omar Ezziddin, MD is an Anesthesiology in Springfield, Massachusetts. Graduated from Ohio State University College of Medicine in 2009, 17 years ago. Practices with Mass General Brigham Medical Group Western Massachusetts Inc, a 293-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Trained at
Ohio State University College of Medicine
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

908 Allen St
Springfield, MA 01118-2533
Phone: (413) 796-7494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Lake Ave N, Worcester, MA 01655-0002 — (508) 334-3271

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036131711 (IL)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 036131711 (IL)

Record details

NPI number1821232901
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2009
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address908 Allen St, Springfield, MA 01118-2533

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Mass General Brigham Medical Group Western Massachusetts Inc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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