Individual provider Active NPI

Thomas R Patnaude, M.D.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1316994049
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40759 Issued in MA
Practice address
405 Grove St
Worcester, MA 01605-1270
Phone
(508) 756-6609
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40759 MA Primary

Addresses

Primary practice location

405 Grove St
Worcester, MA 01605-1270

Mailing address

405 Grove St
Worcester, MA 01605-1270
Phone (508) 756-6609

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000232 MA Practitioner - Internal Medicine 9830160266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Worcester Internal Medicine, Inc.Group PAC ID 8022089440, 9 clinicians

Practice addresses (Care Compare)

416 Belmont St
Suite 1
Worcester, MA 01604-1086
Phone (508) 756-6609

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Internal Medicine, Inc. Internal Medicine CurrentSince Oct 1, 1984 Accepting new patients
St. Patrick's Manor, Inc Past Accepting new patients

Locations

416 Belmont St
Worcester, MA 01604
Phone (508) 756-1808

416 Belmont St
Ste 1
Worcester, MA 01604
Phone (508) 756-6609

405 Grove St
#M
Worcester, MA 01605
Phone (508) 756-6609

102 Shore Dr
Worcester, MA 01605
Phone (508) 425-7670

405 Grove St
Worcester, MA 01605
Phone (508) 756-6609

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGFCDD/Endpoint/IGFCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGFCDD

Organizations & group practices 2

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 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1316994049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051270",
            "telephone_number": "508-756-6609",
            "fax_number": "508-798-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051270",
            "telephone_number": "508-756-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNAUDE",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "40759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.