NPIMap

Individual provider Active NPI

Jordan E. Scott, M.D.

  • Allergy & Immunology Physician
  • Leominster, MA
National Provider Identifier
1275517245
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
214922 Issued in MA
Practice address
79 Erdman Way
Suite 101
Leominster, MA 01453
Phone
(978) 537-4805
Fax
(978) 537-2185
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 214922 MA Primary

Addresses

Primary practice location

79 Erdman Way
Suite 101
Leominster, MA 01453

Mailing address

79 Erdman Way
Suite 101
Leominster, MA 01453
Phone (978) 537-4805

Other identifiers 1

IdentifierTypeStateIssuer
2119552MedicaidMA

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
I20060808000459 MA Practitioner - Allergy/Immunology 8426051632 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massachusetts Institute of TechnologyGroup PAC ID 5597658666, 55 clinicians
Allergy and Asthma Physicians PCGroup PAC ID 6103859103, 5 clinicians

Practice addresses (Care Compare)

1400 Centre St
Suite 205
Newton, MA 02459-2415
Phone (617) 765-0228

25 Carleton St
Cambridge, MA 02142-1323
Phone (617) 258-6896

3 Woodland Rd
Suite 217
Stoneham, MA 02180-1711
Phone (781) 395-2922

79 Erdman Way
Suite 101
Leominster, MA 01453-1805
Phone (978) 537-4805

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Physicians PC CurrentSince Jan 1, 2014 Accepting new patients
Massachusetts Institute of Technology CurrentSince Dec 17, 2025 Accepting new patients
Northeast Allergy Asthma & Immunology, PC Allergy & Immunology PastSince Feb 1, 2010 Accepting new patients
Neaai - Wpho LLC Allergy & Immunology Past Accepting new patients

Locations

79 Erdman Way
#101
Leominster, MA 01453
Phone (978) 537-4805

3 Woodland Rd
Ste 217
Stoneham, MA 02180
Phone (781) 395-2922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFECA
  • Direct secure messaging: jscott28913@tuftsmedicine.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGCAA

Organizations & group practices 11

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 5

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1275517245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY",
            "address_2": "SUITE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-537-4805",
            "fax_number": "978-537-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY",
            "address_2": "SUITE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-537-4805",
            "fax_number": "978-537-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JORDAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "214922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119552",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.