NPIMap

Individual provider Active NPI

Anna Paula Rego, PA

  • Physician Assistant
  • Ludlow, MA
National Provider Identifier
1306213459
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4030 Issued in CT
Practice address
200 Center St
Ludlow, MA 01056-2772
Phone
(413) 589-7176
NPI assigned
Aug 25, 2015
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4030 CT Primary
Physician Assistant 363A00000X PA5471 MA

Addresses

Primary practice location

200 Center St
Ludlow, MA 01056-2772

Mailing address

124 Holy Cross Cir
Ludlow, MA 01056-1045
Phone (413) 265-0850

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
I20151008001385 MA Practitioner - Physician Assistant 5597073791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Group IncGroup PAC ID 2365698024, 17 clinicians

Practice addresses (Care Compare)

175 Carew St
Suite 150
Springfield, MA 01104-2391
Phone (413) 452-6570

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-7370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Mercy Hospital Inc Past Accepting new patients
CH Specialty Services Ma PC PastSince Jan 1, 2023 Accepting new patients
System Coordinated Services, Inc Past Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arego2385484@direct.trinity-health.org

Organizations & group practices 7

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 4

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1306213459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HOLY CROSS CIR",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561045",
            "telephone_number": "413-265-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGO",
        "first_name": "ANNA PAULA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4030",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.