NPIMap

Individual provider Active NPI

Timothy M Loughran, MD

  • Internal Medicine Physician
  • Danvers, MA
National Provider Identifier
1083659585
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216467 Issued in MA
Practice address
480 Maple St Ste 204
Danvers, MA 01923-4065
Phone
(978) 774-0989
NPI assigned
Jun 18, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216467 MA Primary
Internal Medicine Physician 207R00000X 12465 NH

Addresses

Primary practice location

480 Maple St Ste 204
Danvers, MA 01923-4065

Mailing address

41 Mall Rd Ste 202W
Burlington, MA 01805-0002
Phone (781) 744-8085

Other practice location 1

155 Borthwick Ave
Suite 202W
Portsmouth, NH 03801-7156
Phone (603) 433-8434

Other identifiers 1

IdentifierTypeStateIssuer
3084597MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TIMOTHY.LOUGHRAN@hca6.eclinicaldirectplus.com

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
I20040806000429 MA Practitioner - Internal Medicine 5991777443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216467MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. Internal Medicine CurrentSince Sep 22, 2022 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Nov 1, 2024 Accepting new patients
Massachusetts Em-1 Medical Services Past Accepting new patients
Anna Jaques Inpatient Services Internal Medicine Past Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine PastSince Aug 17, 2020 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Internal Medicine Past Accepting new patients
Paper City Emergency Physicians LLC Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

41 Mall Rd
Ste 202W
Burlington, MA 01805

480 Maple St
Ste 204
Danvers, MA 01923
Phone (978) 304-8370

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.loughran@hca6.eclinicaldirectplus.com
  • Direct secure messaging: tloughran186407@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1083659585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD STE 202W",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050002",
            "telephone_number": "781-744-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST STE 204",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-774-0989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Borthwick Ave",
            "address_2": "SUITE 202W",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038017156",
            "country_code": "US",
            "telephone_number": "603-433-8434",
            "fax_number": "603-436-6608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGHRAN",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216467",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084597",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TIMOTHY.LOUGHRAN@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "155 Borthwick Ave",
            "address_2": "SUITE 202W",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038017156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.