Individual provider Active NPI

Linda Gifford Degeus, MD

  • Pediatrics Physician
  • Franklin, MA
National Provider Identifier
1124085212
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
221739 Issued in MA
Practice address
1280 W Central St Ste 201
Franklin, MA 02038-3110
Phone
(508) 541-8000
Fax
(508) 541-6749
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 221739 MA Primary

Addresses

Primary practice location

1280 W Central St Ste 201
Franklin, MA 02038-3110

Mailing address

9 Industrial Rd
Ste 5
Milford, MA 01757-3736
Phone (508) 473-1480

Other identifiers 1

IdentifierTypeStateIssuer
2119854MedicaidMA

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
I20061025000497 MA Practitioner - Pediatric Medicine 1951359546 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221739MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. Pediatrics CurrentSince May 15, 2018 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince May 15, 2018 Accepting new patients
Thundermist Health Center Past Accepting new patients
Thundermist Health Center Past Accepting new patients

Locations

1280 W Central St
Ste 202
Franklin, MA 02038
Phone (508) 541-2436

124 Grove St
Ste 305
Franklin, MA 02038
Phone (508) 473-7599

1280 W Central St
Ste 201
Franklin, MA 02038
Phone (508) 541-2436

835 W Central St
Franklin, MA 02038
Phone (508) 541-8000

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 4

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1124085212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL RD",
            "address_2": "STE 5",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573736",
            "telephone_number": "508-473-1480",
            "fax_number": "508-473-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 W CENTRAL ST STE 201",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383110",
            "telephone_number": "508-541-8000",
            "fax_number": "508-541-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEUS",
        "first_name": "LINDA",
        "middle_name": "GIFFORD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "221739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119854",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

Verify at the official NPI Registry.