NPIMap

Individual provider Active NPI

Jyoti Dhananjay Nagarkar, MD

  • Internal Medicine Physician
  • Leominster, MA
National Provider Identifier
1013903210
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223028 Issued in MA
Practice address
80 Erdman Way
Suite 207
Leominster, MA 01453-1840
Phone
(978) 534-0230
Fax
(978) 534-3915
NPI assigned
Sep 22, 2005
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223028 MA Primary

Addresses

Primary practice location

80 Erdman Way
Suite 207
Leominster, MA 01453-1840

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jnagarkar23387@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address jnagarkar23387@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000906 MA Practitioner - Internal Medicine 2567496524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Apr 18, 2011 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Apr 18, 2011 Accepting new patients
Gardner Family Medicine, Inc. PastSince Feb 1, 2008 Accepting new patients
Prime Foot and Ankle Care, LLC Past Accepting new patients
Bernard a Westerling III, MD, LLC Past Accepting new patients
Heywood Medical Group Inc. Internal Medicine Past Accepting new patients
Lexica Inpatient Services Internal Medicine Past Accepting new patients
Coordinated Primary Care, Inc. Past Accepting new patients

Locations

76 Summer St
Ste 210
Fitchburg, MA 01420
Phone (978) 343-9400

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

80 Erdman Way
Ste 207
Leominster, MA 01453
Phone (978) 534-0230

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1039/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jnagarkar23387@umassmemorial.direct-ci.com

Organizations & group practices 8

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1013903210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ERDMAN WAY",
            "address_2": "SUITE 207",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531840",
            "telephone_number": "978-534-0230",
            "fax_number": "978-534-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARKAR",
        "first_name": "JYOTI",
        "middle_name": "DHANANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnagarkar23387@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "80 Erdman Way",
            "address_2": "Suite 207",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014531840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "80 Erdman Way",
            "address_2": "Suite 207",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014531840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnagarkar23387@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "80 Erdman Way",
            "address_2": "Suite 207",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014531840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "80 Erdman Way",
            "address_2": "Suite 207",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014531840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.