Individual provider Active NPI

Emmanuela Frimpong

  • Physician Assistant
  • Milford, MA
National Provider Identifier
1013589936
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA101210 Issued in MA
Practice address
321 Fortune Blvd
Milford, MA 01757-1750
Phone
(508) 478-0175
Fax
(508) 634-6984
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA101210 MA Primary

Addresses

Primary practice location

321 Fortune Blvd
Milford, MA 01757-1750

Mailing address

321 Fortune Blvd
Milford, MA 01757-1750
Phone (508) 478-0207

Other practice location 1

11 Gibbs St Unit E79
Worcester, MA 01607-2402
Phone (774) 534-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102001198 MA Practitioner - Physician Assistant 0042706681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Shore Dr
Suite 501
Worcester, MA 01605-3154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA101210MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Internal Medicine, Inc. CurrentSince Oct 10, 2025 Accepting new patients

Locations

416 Belmont St
Ste 1
Worcester, MA 01604
Phone (508) 756-6609

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGFCDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1013589936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571750",
            "telephone_number": "508-478-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571750",
            "telephone_number": "508-478-0175",
            "fax_number": "508-634-6984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Gibbs St Unit E79",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016072402",
            "country_code": "US",
            "telephone_number": "774-534-9804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIMPONG",
        "first_name": "EMMANUELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA101210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.