NPIMap

Individual provider Active NPI

Mark J Messenger, MD

  • Internal Medicine Physician
  • Danvers, MA
National Provider Identifier
1194726471
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59153 Issued in MA
Practice address
75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone
(978) 774-7566
Fax
(978) 223-9953
NPI assigned
Aug 9, 2005
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 59153 MA Primary

Addresses

Primary practice location

75 Sylvan St Ste B102
Danvers, MA 01923-2764

Mailing address

75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone (978) 774-7566

Other identifiers 1

IdentifierTypeStateIssuer
3030270MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000302 MA Practitioner - Internal Medicine 0840261863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

45 Dan Rd
Canton, MA 02021-2852
Phone (781) 867-2050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Dimensions, Inc. Current Accepting new patients
Vantage Healthcare LLC Internal Medicine CurrentSince Mar 12, 2024 Accepting new patients
Care Dimensions, Inc. Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients

Locations

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

75 Sylvan St
Ste B102
Danvers, MA 01923
Phone (888) 283-1722

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/caredimensions

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.

Hospital & facility affiliations 9

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1194726471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST STE B102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232764",
            "telephone_number": "978-774-7566",
            "fax_number": "978-223-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST STE B102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232764",
            "telephone_number": "978-774-7566",
            "fax_number": "978-223-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSENGER",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030270",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.