Mary Elizabeth Chmura, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

221958 Issued in MA

Practice address

58 Old North Rd
Worthington, MA 01098-9753

Phone

(413) 238-5511

Fax

(413) 238-5358

NPI assigned

Apr 11, 2006

Last updated

Oct 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 18

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

Specialty

General Practice

Education

Albany Medical College of Union University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hilltown Community Health Centers IncGroup PAC ID 7315830148, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
• Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mchmura18858@direct.ctc.masshiway.net

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.

• Hilltown Community Health Centers, Inc.

  dba Worthington Health Center

  • Federally Qualified Health Center (FQHC)
  • Worthington, MA
  • NPI 1740268051
  Medicare reassignment Care Compare group NPD
• Hilltown Community Health Centers, Inc.

  dba John P. Musante Health Center

  • Federally Qualified Health Center (FQHC)
  • Amherst, MA
  • NPI 1528573037
  NPD
• Cherokee Indian Hospital Authority

  dba Ciha Analenisgi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baystate Noble Hospital Corporation

  • General Acute Care Hospital
  • Westfield, MA
  • NPI 1700816048
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1174586051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989753",
            "telephone_number": "413-238-5511",
            "fax_number": "413-238-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989753",
            "telephone_number": "413-238-5511",
            "fax_number": "413-238-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMURA",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "221958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST HEALTHCARE ALLI",
            "identifier": "22-2253144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "36365",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4470530",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/GIC",
            "identifier": "20-2253144",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104784",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "221958",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST",
            "identifier": "20-2253144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST HEALTH DIRECT",
            "identifier": "20-2253144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J28908",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN VISTA",
            "identifier": "20-2253144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "20-2253144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3840924",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "414540",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MED. SECURITY",
            "identifier": "87333",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA34373",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000031433",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED",
            "identifier": "20-2253144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "20-2253144",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jason Adams, DDS
• Miranda Swados Balkin, MD
• Emily K Bowden, D.M.D
• George Henry Bresnick, M.D.
• Elizabeth A. Coates, MD
• Taylor Demur
• Kadence Mae Eddy
• Martiele Elliott, LICSW
• James G Epps, LMHC

• Family Medicine Physician in Worthington, MA
• Providers in Worthington, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.

Verify at the official NPI Registry.