Active NPI
Matthew Joel Clifford, CRNA
- Certified Registered Nurse Anesthetist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2266666
- Practice address
- 55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002 - Phone
- (508) 334-3271
- Fax
- (508) 856-5911
- NPI assigned
- Feb 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2266666 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mclifford26533@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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Androscoggin Valley Hospital Inc
Practice addresses (Care Compare)
242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420
300 Grove St
Worcester, MA 01605-3908
Phone (781) 585-9522
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Anesthesia LLC | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Icon Anesthesia Services of New England LLC | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Androscoggin Valley Hospital Inc | Current | Accepting new patients | |
| Athol Memorial Hospital Incorporated | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Lawrence Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
300 Grove St
Worcester, MA 01605
Phone (508) 754-0700
7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
Interoperability endpoints
- mclifford26533@umassmemorial.direct-ci.com
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.
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- Anesthesiology Physician
- Worcester, MA
- NPI 1275331761
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
-
- Anesthesiology Physician
- Lawrence, MA
- NPI 1467699918
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Berlin, NH
- NPI 1679526644
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
-
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Medicare Defined Swing Bed Hospital Unit
- Berlin, NH
- NPI 1134266679
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
- Durable Medical Equipment & Medical Supplies
- Berlin, NH
- NPI 1235267451
Hospital
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1083153969",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-3271",
"fax_number": "508-856-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "MATTHEW",
"middle_name": "JOEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-13",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2266666",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mclifford26533@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"address_2": "Department of Anesthesiology",
"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",
"address_2": "Department of Anesthesiology",
"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 Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.