Individual provider Active NPI

Ingrid Gorman, M.D.

  • Internal Medicine Physician
  • Acton, MA
National Provider Identifier
1053302158
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81520 Issued in MA
Practice address
321 Main St
Acton, MA 01720-3718
Phone
(978) 263-1131
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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 81520 MA Primary

Addresses

Primary practice location

321 Main St
Acton, MA 01720-3718

Mailing address

321 Main St
Acton, MA 01720-3718
Phone (978) 263-1131

Other identifiers 1

IdentifierTypeStateIssuer
3143783MedicaidMA

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
I20060403000523 MA Practitioner - Internal Medicine 1850363946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acton Medical Associates PCGroup PAC ID 7315919404, 34 clinicians

Practice addresses (Care Compare)

321 Main St
Acton, MA 01720-3718
Phone (978) 635-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
86.03
Promoting interoperability
99
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81520MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acton Medical Associates, PC Internal Medicine CurrentSince Sep 26, 1995 Accepting new patients

Locations

45 Discovery Way
Acton, MA 01720

321 Main St
Acton, MA 01720
Phone (978) 263-1131

231 Ayer Rd
Harvard, MA 01451

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBBCD
  • Direct secure messaging: ingrid.gorman@amapc1.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1053302158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203718",
            "telephone_number": "978-263-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203718",
            "telephone_number": "978-263-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "INGRID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143783",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.