Active NPI
Christina L Moreau, MD
- Emergency Medicine Physician
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 154085
- Practice address
- 114 Whitwell St
Attn Emergency Dept
Quincy, MA 02169-1870 - Phone
- (617) 376-5549
- Fax
- (617) 376-5553
- NPI assigned
- Oct 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 154085 | MA | Primary |
Addresses
Primary practice location
114 Whitwell St
Attn Emergency Dept
Quincy, MA 02169-1870
Mailing address
PO Box 843013
Boston, MA 02284-3013
Phone (866) 898-7138
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #771587 | Other | MA | TUFTS |
| J17671 | Other | MA | BCBS |
| 000000005223 | Other | MA | BMC HEALTHNET |
| 3167887 | Medicaid | MA | |
| AA101473 | Other | MA | PILGRIM HEALTH |
| 771587 | Other | MA | TUFTS |
| 71888 | Other | MA | HPHC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Vermont College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Page St
New Bedford, MA 02740-3464
Phone (508) 679-3131
Hospital & facility affiliations
- Beth Israel Deaconess Hospital Plymouth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154085 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Steward Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Joslin Clinic Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
1 Joslin Pl
Boston, MA 02215
Phone (617) 309-2400
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
148 Chestnut St
Needham, MA 02492
Phone (781) 453-3000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
114 Whitwell St
Ste 1
Quincy, MA 02169
Phone (617) 376-5549
114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018
Interoperability endpoints
- cmoreau448795@direct.bilh.masshiway.net
Organizations & group practices 6
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1528003621
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1124017660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843013",
"city": "BOSTON",
"state": "MA",
"postal_code": "022843013",
"telephone_number": "866-898-7138",
"fax_number": "616-975-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WHITWELL ST",
"address_2": "ATTN EMERGENCY DEPT",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691870",
"telephone_number": "617-376-5549",
"fax_number": "617-376-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREAU",
"first_name": "CHRISTINA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "154085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "#771587",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J17671",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000005223",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3167887",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PILGRIM HEALTH",
"identifier": "AA101473",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "771587",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "71888",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.