Individual provider Active NPI

Samuel Maghuyop, MD

  • Internal Medicine Physician
  • Methuen, MA
National Provider Identifier
1265648810
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
261597 Issued in MA
Practice address
Element Care/Pace
12 Ingalls Court
Methuen, MA 01844
Phone
(347) 399-2878
NPI assigned
May 14, 2007
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD12677 RI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD12677 RI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 018440 ME
Internal Medicine Physician 207R00000X 261597 MA Primary

Addresses

Primary practice location

Element Care/Pace
12 Ingalls Court
Methuen, MA 01844

Mailing address

151 Tremont St Apt 8K
Boston, MA 02111-1107
Phone (347) 399-2878

Other practice location 1

Element Care/PACE
235 Woodland
Lynn, MA 01904
Phone (347) 399-2878

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
I20240202000106 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3476623349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018440MEMDGeriatric Medicine (Internal Medicine) Physician
MD12677RIMDGeriatric Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: samuel.maghuyop.p1@direct.elementcare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1265648810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 TREMONT ST APT 8K",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111107",
            "telephone_number": "347-399-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELEMENT CARE/PACE",
            "address_2": "12 INGALLS COURT",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "347-399-2878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Element Care/PACE",
            "address_2": "235 Woodland",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "01904",
            "country_code": "US",
            "telephone_number": "347-399-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGHUYOP",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD12677",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "MD12677",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "018440",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "261597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.