Individual provider Active NPI

Joan Eagan, MD, FAAP

  • Pediatrics Physician
  • Westford, MA
National Provider Identifier
1093702292
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
224062 Issued in MA
Practice address
133 Littleton Rd
Suite 101
Westford, MA 01886-3198
Phone
(978) 577-0437
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 224062 MA Primary

Addresses

Primary practice location

133 Littleton Rd
Suite 101
Westford, MA 01886-3198

Mailing address

133 Littleton Rd
Suite 101
Westford, MA 01886-3198
Phone (978) 577-0437

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
I20180307002234 MA Practitioner - Pediatric Medicine 5496934531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrics West PCGroup PAC ID 0143448514, 15 clinicians

Practice addresses (Care Compare)

133 Littleton Rd
Suite 101
Westford, MA 01886-3198
Phone (978) 577-0437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224062MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Hospital Current Accepting new patients
Pediatrics West, PC Pediatrics CurrentSince Jan 1, 2009 Accepting new patients
New England Center for Mental Health LLC PastSince Dec 1, 2014 Accepting new patients
Child and Family Psychological Services, PLLC PastSince Jun 15, 2020 Accepting new patients
Specialty West PLLC Past Accepting new patients

Locations

19 Pierce Ave
Ste B
Fitchburg, MA 01420
Phone (978) 577-0437

120 Boston Rd
Ste 1
Groton, MA 01450
Phone (978) 577-0437

133 Littleton Rd
Ste 103
Westford, MA 01886
Phone (978) 619-5447

133 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 577-0437

Interoperability endpoints

  • Direct secure messaging: jeagan31440@tuftsmedicine.direct-ci.com
  • Direct secure messaging: eagan.joan.epho@direct.partners.masshiway.net

Organizations & group practices 5

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1093702292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-577-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-577-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "JOAN",
        "credential": "MD, FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "224062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.