Active NPI
Eric J Schmidlin, MD
- Diagnostic Radiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301098829
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-7237
- Fax
- (774) 441-8443
- NPI assigned
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301098829 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 4301098829 | MI | 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
157 Union St
Marlborough, MA 01752-1228
Phone (508) 486-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110092679A | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eschmidlin19593@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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northeastern Ohio University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Brigham and Women'S Hospital
- Dana-Farber Cancer Institute
- Brigham and Women Faulkner Hospital
- Massachusetts General Hospital
- Cooley Dickinson Hospital Inc,the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098829 | MI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Umass Memorial MRI & Imaging Center, LLC | Current | Accepting new patients | |
| Umass Memorial Radiology Phys Serv | Diagnostic Radiology | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Umass Memorial MRI & Imaging Center, LLC | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial MRI & Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
10 Little Brook Rd
West Wareham, MA 02576
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- eschmidlin19593@umassmemorial.direct-ci.com
- schmidlin.eric.bwh@direct.partners.masshiway.net
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1639122096
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Clinical Medical Laboratory
- South Weymouth, MA
- NPI 1396942926
-
- Diagnostic Radiology Physician
- S. Weymouth, MA
- NPI 1689909723
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Worcester, MA
- NPI 1619446325
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Worcester, MA
- NPI 1689623563
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Worcester, MA
- NPI 1700835592
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1073762779",
"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": "508-334-7237",
"fax_number": "774-441-8443"
}
],
"practiceLocations": [
{
"address_1": "157 Union St",
"address_purpose": "LOCATION",
"city": "Marlborough",
"state": "MA",
"postal_code": "017521228",
"country_code": "US",
"telephone_number": "508-486-5600",
"fax_number": "508-229-1241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDLIN",
"first_name": "ERIC",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301098829",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301098829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110092679A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eschmidlin19593@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 Jun 8, 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.