Individual provider Active NPI

Daylin B Amesimeku, PA-C

  • Physician Assistant
  • Westborough, MA
National Provider Identifier
1093490856
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
24 Lyman St Ste 280
Westborough, MA 01581-1484
Phone
(774) 399-9100
Fax
(774) 399-9101
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

24 Lyman St Ste 280
Westborough, MA 01581-1484

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Other names 1

  • Daylin Beatriz Farias Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Daylin.Amesimeku.CRM@direct.partners.masshiway.net

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012002950 MA Practitioner - Physician Assistant 9234584145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

600 Worcester Rd
Framingham, MA 01702-5316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC CurrentSince Oct 1, 2023 Accepting new patients
Charles River Medical Associates PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

24 Lyman St
Ste 280
Westborough, MA 01581
Phone (508) 366-2320

Interoperability endpoints

  • Direct secure messaging: daylin.amesimeku.crm@direct.partners.masshiway.net
  • Direct secure messaging: amesimeku.daylin.crm@direct.partners.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1093490856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST STE 280",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811484",
            "telephone_number": "774-399-9100",
            "fax_number": "774-399-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMESIMEKU",
        "first_name": "DAYLIN",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daylin.Amesimeku.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "24 Lyman St Ste 280",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015811484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAYLIN",
            "last_name": "FARIAS",
            "middle_name": "BEATRIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.