Individual provider Active NPI

Daniel Worrall, ANP-BC

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1295883999
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
262127 Issued in MA
Practice address
55 Fruit Street
Cox Building, 5TH Floor
Boston, MA 02114
Phone
(857) 268-7067
Fax
(857) 268-7095
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305851 NY
Adult Health Nurse Practitioner 363LA2200X 262127 MA Primary

Addresses

Primary practice location

55 Fruit Street
Cox Building, 5TH Floor
Boston, MA 02114

Mailing address

400 Technology SQ
C/O the Ragon Institute
Cambridge, MA 02139-3583
Phone (781) 696-0365

Other practice location 1

400 Technology Square
7th Floor
Cambridge, MA 02139
Phone (857) 268-7067

Other practice location 2

15 Parkman Street
Wacc-4
Boston, MA 02114
Phone (671) 643-5580

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070811000075 MA Practitioner - Nurse Practitioner 8123119732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
262127MAMDAdult Health Nurse Practitioner
305851NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Feb 8, 2017 Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Feb 1, 2015 Accepting new patients

Locations

55 Fruit St
Bldg 5TH
Boston, MA 02114
Phone (617) 724-1994

15 Parkman St
#4
Boston, MA 02114
Phone (617) 724-3564

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: worrall.daniel.mgh@direct.partners.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1295883999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TECHNOLOGY SQ",
            "address_2": "C/O THE RAGON INSTITUTE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393583",
            "telephone_number": "781-696-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "COX BUILDING, 5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "857-268-7067",
            "fax_number": "857-268-7095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Technology Square",
            "address_2": "7th Floor",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "02139",
            "country_code": "US",
            "telephone_number": "857-268-7067",
            "fax_number": "857-268-7095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Parkman Street",
            "address_2": "WACC-4",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "671-643-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORRALL",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305851",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "262127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.