Diederik Frederik Meursing, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

246721 Issued in MA

Practice address

326 Nichols Rd
Fitchburg, MA 01420-1914

Phone

(978) 878-8100

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Family PracticeAlso: Peripheral Vascular Disease

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Community Health Connections, IncGroup PAC ID 8729074992, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2065/brand/5/csg/1/fhir/r4
• Direct secure messaging: diederik.meursing.p1@direct.chcfhc.nextgenshare.com
• Direct secure messaging: diederik.meursing.p1@direct.edcomed.nextgenshare.com

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.

• Community Health Connections, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fitchburg, MA
  • NPI 1477580827
  Care Compare group NPD
• Vohra Wound Physicians of FL, LLC

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1255620555
  NPD
• Vohra Wound Physicians of FL, LLC

  • Family Medicine Physician
  • Conyers, GA
  • NPI 1598061293
  NPD
• Heart and Vascular Care, P. C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Joplin, MO
  • NPI 1427160514
  NPD (past)
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  NPD (past)
• Muskogee Medical and Surgical Associates, LLC

  • Family Medicine Physician
  • Muskogee, OK
  • NPI 1184858375
  NPD (past)

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

• Umass Memorial Healthalliance Clinton Hospital Inc

  • General Acute Care Hospital
  • Leominster, MA
  • NPI 1013995133
  Care Compare affiliation
• Umass Memorial Healthalliance Clinton Hospital Inc

  • Psychiatric Hospital Unit
  • Clinton, MA
  • NPI 1285171934
  Care Compare affiliation
• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455
  Care Compare affiliation

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1073664033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLEASANT ST APT 8-1",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018862376",
            "telephone_number": "918-616-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Hall St",
            "address_purpose": "LOCATION",
            "city": "Spearville",
            "state": "KS",
            "postal_code": "678768553",
            "country_code": "US",
            "telephone_number": "620-385-2963",
            "fax_number": "620-385-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Kinsley",
            "state": "KS",
            "postal_code": "675472329",
            "country_code": "US",
            "telephone_number": "620-659-3621",
            "fax_number": "620-659-3810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Kinsley",
            "state": "KS",
            "postal_code": "675472329",
            "country_code": "US",
            "telephone_number": "620-659-2732",
            "fax_number": "620-659-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEURSING",
        "first_name": "DIEDERIK",
        "middle_name": "FREDERIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24935",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-41597",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "24935",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "246721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200174480A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdowler@edcomed.com",
            "affiliation": "N",
            "endpointDescription": "RHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "205 Hall St",
            "city": "Spearville",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678768553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meagan Menegus, M.S.W., B.A.
• Rebecca A Merchant
• Hannah Lura Merrill
• Nicole Merwin, BCBA
• Amy Meunier, BS
• Michael Charles Meyer, DMD
• Seth Matthew Meyer
• Lvov Mhyana
• Marcy Michaud
• Midwifery by Marianne

• Family Medicine Physician in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.

Verify at the official NPI Registry.