IDRIS Z DAHOD (M.D.) – Pediatric Gastroenterology Physician, NPI 1265485767
Pediatric Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,245 PEDIATRIC MEDICINE in MA
Provider Addresses for IDRIS Z DAHOD (M.D.)
405 Grove St Ste 304
Worcester, MA 016051270
Phone: (508) 762-9136
Fax: (508) 373-2208
Type: Location
27 BRIDLE PATH
SHREWSBURY, MA 015451564
Phone: (508) 479-4441
Type: Mailing
Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States
WORCESTER, MA 016081200
Phone: (508) 363-7344
Fax: (508) 363-7345
Type: Location
Worcester Post Office, High Street, Worcester Wes, Breede Valley Ward 12, Worcester, Breede Valley Local Municipality, Cape Winelands District Municipality, Western Cape, 6850, South Africa
WORCESTER, MA 016131025
Phone: (508) 363-7344
Fax: (508) 363-7345
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040330000431 | I | Pediatric Medicine | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA |
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