Individual provider Active NPI

Jamie Allen, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • North Andover, MA
National Provider Identifier
1194187435
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
1015407 Issued in MA
Practice address
565 Turnpike St Ste 85
North Andover, MA 01845-5936
Phone
(978) 689-2247
NPI assigned
Mar 25, 2016
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1015407 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1015407 MA Primary

Addresses

Primary practice location

565 Turnpike St Ste 85
North Andover, MA 01845-5936

Mailing address

153 Rollstone Ave
West Sayville, NY 11796-1308
Phone (508) 451-7692

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
I20230711002678 MA Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 5991072316 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. Multi-Specialty CurrentSince Feb 25, 2025 Accepting new patients
Incare LLC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Incare Lawrence PLLC Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
Steward Emergency Physicians, Inc Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Steward Holy Family Hospital, Inc. Multi-Specialty Past Accepting new patients
LG Newcorp Inc Multi-Specialty Past Accepting new patients
Emerson Hospital Multi-Specialty Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 254-4983

70 East St
Methuen, MA 01844
Phone (978) 682-1906

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1194187435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ROLLSTONE AVE",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961308",
            "telephone_number": "508-451-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST STE 85",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455936",
            "telephone_number": "978-689-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAMIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "1015407",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "1015407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.