Individual provider Active NPI

Alexandra E. Weill, MD

  • Emergency Medicine Physician
  • Worcester, MA
National Provider Identifier
1083760805
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
230546 Issued in MA
Practice address
123 Summer St
Worcester, MA 01608-1216
Phone
(508) 363-5000
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 230546 MA Primary

Addresses

Primary practice location

123 Summer St
Worcester, MA 01608-1216

Mailing address

593 Pierce St
Leominster, MA 01453-3037

Other identifiers 1

IdentifierTypeStateIssuer
110075938AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address aweill21915@UmassMemorial.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000580 MA Practitioner - Emergency Medicine 1052218237 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians

Practice addresses (Care Compare)

164 High St
Greenfield, MA 01301-2613
Phone (413) 773-2840

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

Hospital & facility affiliations

  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newburyport Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 30, 2025 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Jul 15, 2024 Accepting new patients
Athol Memorial Hospital Incorporated Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Emergency Physician Associates of Massachusetts PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Henry Heywood Memorial Hospital Emergency Medicine CurrentSince Oct 28, 2012 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Oct 28, 2012 Accepting new patients
US Dept of HHS Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: aweill21915@umassmemorial.direct-ci.com

Organizations & group practices 7

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 4

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1083760805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 PIERCE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILL",
        "first_name": "ALEXANDRA",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "230546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075938A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "123 Summer St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016081216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweill21915@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "123 Summer St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016081216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.