Active NPI
Monique M Tyminski, D.O.
- Diagnostic Radiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 269149
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 856-5381
- Fax
- (508) 334-9108
- NPI assigned
- May 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 233207 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 269149 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
840 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110117346A | Medicaid | MA | |
| 3144010 | Medicaid | NH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mtyminski30363@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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of New England, College of Osteo Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546
Hospital & facility affiliations
- Holyoke Medical Center
- Baystate Medical Center
- Cooley Dickinson Hospital Inc,the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University Medical Center Radiologists, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Umass Memorial Radiology Phys Serv | Diagnostic Radiology | Current | Accepting new patients |
| Fall River-New Bedford Regional MRI, Limited Partnership | Current | Accepting new patients | |
| Shields Healthcare of Cambridge, Inc. | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Southeastern Massachusetts Regional MRI, Limited Partnership | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Holyoke Medical Center, Inc. | Current | Accepting new patients |
Locations
201 Highland St
Ste B
Clinton, MA 01510
Phone (978) 368-3731
575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
24 Newton St
Southborough, MA 01772
Phone (508) 460-3190
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
10 Little Brook Rd
West Wareham, MA 02576
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
Interoperability endpoints
- mtyminski240798@direct.bmc.masshiway.net
- mtyminski30363@umassmemorial.direct-ci.com
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1639122096
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Dartmouth, MA
- NPI 1134178346
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Brighton, MA
- NPI 1134178312
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Brockton, MA
- NPI 1013966282
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768608000000",
"number": "1063689388",
"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",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-856-5381",
"fax_number": "508-334-9108"
}
],
"practiceLocations": [
{
"address_1": "840 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-638-6610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYMINSKI",
"first_name": "MONIQUE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "233207",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "269149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110117346A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3144010",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtyminski30363@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"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": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.