NPIMap

Individual provider Active NPI

Hemant Magoo, M.D.

  • Nephrology Physician
  • Worcester, MA
National Provider Identifier
1275865131
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
243289 Issued in MA
Practice address
123 Summer St # 685N
Worcester, MA 01608-1216
Phone
(508) 363-6008
Fax
(508) 363-7164
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 048573 CT
Nephrology Physician 207RN0300X 243289 MA Primary

Addresses

Primary practice location

123 Summer St # 685N
Worcester, MA 01608-1216

Mailing address

123 Summer St # 685N
Worcester, MA 01608-1216
Phone (508) 363-6008

Other identifiers 1

IdentifierTypeStateIssuer
1275865131MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101014001223 CT Practitioner - NephrologyPractitioner - Internal Medicine 6002009602 Reassigns benefits to 1 organization
I20101026000045 MA Practitioner - Internal MedicinePractitioner - Nephrology 6002009602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Mass NephrologyGroup PAC ID 2466834742, 4 clinicians

Practice addresses (Care Compare)

123 Summer St
685N
Worcester, MA 01608-1216
Phone (508) 363-6008

320 Pomfret St
Putnam, CT 06260-1836
Phone (508) 363-6008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048573CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mass Nephrology Nephrology CurrentSince Jan 1, 2022 Accepting new patients
Western New England Renal and Transplant Associates, P.C. Nephrology CurrentSince Jan 2, 2015 Accepting new patients

Locations

113 Elm St
Enfield, CT 06082
Phone (860) 253-5196

701 Enfield St
Ste 160
Enfield, CT 06082
Phone (860) 749-5975

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

320 Pomfret St
#1
Putnam, CT 06260
Phone (860) 963-6331

100 South St
Ste 208
Southbridge, MA 01550
Phone (508) 764-6356

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
#685N
Worcester, MA 01608
Phone (508) 363-6008

123 Summer St
Ste 685N
Worcester, MA 01608
Phone (508) 363-6008

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1275865131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST # 685N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6008",
            "fax_number": "508-363-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST # 685N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6008",
            "fax_number": "508-363-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOO",
        "first_name": "HEMANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "048573",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "243289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275865131",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.