NPIMap

Individual provider Active NPI

Luna Hidaya, M.D.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1063809002
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
276600 Issued in MA
Practice address
1 W Boylston St
Worcester, MA 01605-1265
Phone
(508) 334-8802
Fax
(508) 334-8803
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 276600 MA Primary

Addresses

Primary practice location

1 W Boylston St
Worcester, MA 01605-1265

Mailing address

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

Other practice location 1

385 Southbridge St
Auburn, MA 01501-2498
Phone (508) 721-1170

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lhidaya30168@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
I20181210002556 MA Practitioner - Internal Medicine 4082924923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
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)

1 W Boylston St
Worcester, MA 01605-1274
Phone (508) 854-2636

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Jul 6, 2020 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients

Locations

1 W Boylston St
Worcester, MA 01605

1 W Boylston St
Ste 206
Worcester, MA 01605
Phone (508) 595-2000

1 W Boylston St
Worcester, MA 01605
Phone (508) 334-8802

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: lhidaya30168@umassmemorial.direct-ci.com

Organizations & group practices 3

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 10

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1063809002",
    "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": "1 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051265",
            "telephone_number": "508-334-8802",
            "fax_number": "508-334-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Southbridge St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MA",
            "postal_code": "015012498",
            "country_code": "US",
            "telephone_number": "508-721-1170",
            "fax_number": "508-832-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDAYA",
        "first_name": "LUNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "276600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhidaya30168@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "1 W Boylston St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016051265",
            "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": "1 W Boylston St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016051265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.