Active NPI
Evelyn S. Love, M.D.
- Rheumatology Physician
- Worcester, MA
National Provider Identifier
1164538922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 49863
- Practice address
- 210 Lincoln St
Worcester, MA 01605-2529 - Phone
- (508) 797-3333
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 49863 | MA | Primary |
Addresses
Primary practice location
210 Lincoln St
Worcester, MA 01605-2529
Mailing address
210 Lincoln St
Worcester, MA 01605-2529
Phone (508) 797-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6199259 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49863 | MA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evelyn S. Love, M.D., PC | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
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": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164538922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052529",
"telephone_number": "508-797-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052529",
"telephone_number": "508-797-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "EVELYN",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "49863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6199259",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.