Individual provider Active NPI

Pamela L. Grimaldi, D.O.

  • Family Medicine Physician
  • Barre, MA
National Provider Identifier
1023010402
Registry record updated Dec 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226614 Issued in MA
Practice address
151 Worcester Rd
Barre, MA 01005-9002
Phone
(978) 355-6321
Fax
(978) 355-6329
NPI assigned
Aug 15, 2005
Last updated
Dec 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226614 MA Primary

Addresses

Primary practice location

151 Worcester Rd
Barre, MA 01005-9002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other identifiers 1

IdentifierTypeStateIssuer
2111128MedicaidMA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000696 MA Practitioner - Family Practice 9133146806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shane Speirs MD II PLLCGroup PAC ID 3971083148, 17 clinicians
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

100 Leominster Rd
Sterling, MA 01564-2156
Phone (508) 784-1278

104 Leominster Rd
Sterling, MA 01564-2114
Phone (978) 422-7774

123 Summer St
Worcester, MA 01608-1216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Family Medicine CurrentSince Jan 6, 2014 Accepting new patients
United Health Services Hospitals, Inc. PastSince Jan 1, 2010 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine Past Accepting new patients

Locations

813 Southbridge St
Auburn, MA 01501
Phone (508) 784-1278

104 Leominster Rd
Sterling, MA 01564
Phone (978) 422-0169

100 Leominster Rd
Sterling, MA 01564
Phone (508) 784-1278

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Organizations & group practices 4

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 6

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386460800000",
    "number": "1023010402",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WORCESTER RD",
            "city": "BARRE",
            "state": "MA",
            "postal_code": "010059002",
            "telephone_number": "978-355-6321",
            "fax_number": "978-355-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "PAMELA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "226614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111128",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, MA

Sources for this page

Verify at the official NPI Registry.