Individual provider Active NPI

Eric P Cotter, MD

  • Internal Medicine Physician
  • Leominster, MA
National Provider Identifier
1114013216
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46142 Issued in MA
Practice address
50 Memorial Drive
Suite 214
Leominster, MA 01453
Phone
(978) 534-6863
Fax
(978) 534-3417
NPI assigned
Oct 5, 2006
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46142 MA Primary

Addresses

Primary practice location

50 Memorial Drive
Suite 214
Leominster, MA 01453

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other identifiers 3

IdentifierTypeStateIssuer
046142OtherMATUFTS HEALTH PLAN
65150OtherMAHARVARD PILGRIM
0136115MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ecotter22461@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
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
I20060427000115 MA Practitioner - Internal Medicine 9032129663

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Boston, MA 02241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46142MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Aug 31, 2011 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Aug 31, 2011 Accepting new patients
Bernard a Westerling III, MD, LLC Past Accepting new patients
Leominster Medical Associates Internal Medicine Past Accepting new patients
Coordinated Primary Care, Inc. Past Accepting new patients

Locations

76 Summer St
Ste 210
Fitchburg, MA 01420
Phone (978) 343-9400

100 Hospital Rd
Ste 1B
Leominster, MA 01453
Phone (978) 466-4550

50 Memorial Dr
Ste 205
Leominster, MA 01453
Phone (978) 534-0310

50 Memorial Dr
Ste 214
Leominster, MA 01453
Phone (978) 534-6863

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: ecotter22461@umassmemorial.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFBCA

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

Hospital & facility affiliations 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1114013216",
    "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",
            "telephone_number": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DRIVE",
            "address_2": "SUITE 214",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-534-6863",
            "fax_number": "978-534-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "ERIC",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "46142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "046142",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "65150",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136115",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecotter22461@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "50 Memorial Drive",
            "address_2": "Suite 214",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01453",
            "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": "50 Memorial Drive",
            "address_2": "Suite 214",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.