Active NPI
Yuka-Marie Vinagre, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 210814
- Practice address
- 55 Lake Ave N
Department of Pediatric Critical Care
Worcester, MA 01655-0002 - Phone
- (508) 853-2164
- Fax
- (508) 856-1062
- NPI assigned
- Nov 20, 2005
- Last updated
- Mar 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 210814 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 210814 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Department of Pediatric Critical Care
Worcester, MA 01655-0002
Mailing address
123 Summer St
Worcester, MA 01608-1216
Phone (508) 368-3120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011905 | Medicaid | MA |
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
- Critical Care (Intensivists)
- Education
- Boston University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-9394
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Physicians of Massachusetts PC | Current | Accepting new patients | |
| VHS Acquisition Subsidiary Number 7 Inc | Past | Accepting new patients |
Locations
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
Interoperability endpoints
- yuka.vinagre.npi1154303576.reliant@direct.optumcare.masshiway.net
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Framingham, MA
- NPI 1376145680
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1154303576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-368-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "DEPARTMENT OF PEDIATRIC CRITICAL CARE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-853-2164",
"fax_number": "508-856-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINAGRE",
"first_name": "YUKA-MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-20",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MA",
"license": "210814",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "210814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2011905",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.