Active NPI
Michael J Querner, M.D.
- Internal Medicine Physician
- Dedham, MA
National Provider Identifier
1275530701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 58043
- Practice address
- 1 Lyons St
Dedham, MA 02026-5599 - Phone
- (781) 329-1400
- Fax
- (781) 278-5667
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 58043 | MA | Primary |
Addresses
Primary practice location
1 Lyons St
Dedham, MA 02026-5599
Mailing address
PO Box 9120
Dedham, MA 02027-9120
Phone (781) 329-1400
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6168493 | Other | MASS HEALTH DIV OF MED SV | |
| 751063 | Other | TUFTS | |
| A56693 | Other | FIRST SENIORITY | |
| 27601 | Other | CHILDRENS MEDICAL SECURIT | |
| 65037 | Other | HARVARD PILGRIM POS | |
| J02527 | Other | BS BLUE CARE ELECT | |
| 1925271 | Other | CIGNA HEALTH CARE | |
| 1925271 | Other | MA | HEALTHSOURCE |
| J02527 | Other | BLUE SHIELD INDEMNITY | |
| 65037 | Other | HARVARD PILGRIM | |
| 65037 | Other | HARVARD PILGRIM PPO | |
| J02527 | Other | HMO BLUE BLUE CHOICE | |
| 0016675 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 6168493 | Medicaid | MA | |
| 751063 | Other | TUFTS BENEFIT ADMINSTRATO | |
| 751063 | Other | TUFTS COMMONWEALTH PPO | |
| 110093037 | Other | RAILROAD MEDICARE | |
| J02527 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1275530701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9120",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020279120",
"telephone_number": "781-329-1400",
"fax_number": "781-271-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LYONS ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020265599",
"telephone_number": "781-329-1400",
"fax_number": "781-278-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUERNER",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "58043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH DIV OF MED SV",
"identifier": "6168493",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "751063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST SENIORITY",
"identifier": "A56693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "27601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM POS",
"identifier": "65037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS BLUE CARE ELECT",
"identifier": "J02527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "1925271",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "1925271",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "J02527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "65037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PPO",
"identifier": "65037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE BLUE CHOICE",
"identifier": "J02527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0016675",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6168493",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS BENEFIT ADMINSTRATO",
"identifier": "751063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS COMMONWEALTH PPO",
"identifier": "751063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110093037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J02527",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.