Organization Active NPI

Trumed Incorporated

Internal Medicine Physician
Fall River, MA

National Provider Identifier

1326094905

Registry record updated Nov 19, 2012

On this page

Key facts
NPPES NPI Registry
National Provider Directory
Practitioners & affiliated clinicians
NPI Registry JSON
Other providers in Fall River, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name: TRUMED INCORPORATED
Practice address: 528 Newton St
Fall River, MA 02721-2366
Phone: (508) 675-1522
Fax: (508) 676-5647
NPI assigned: May 26, 2006
Last updated: Nov 19, 2012By the provider in NPPES
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name: Mrs. Debby L Medeiros
Title: Executive Director
Phone: (508) 675-1522

Specialties & licenses 2

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X
Internal Medicine Physician	207R00000X			Primary

Addresses

Primary practice location

528 Newton St
Fall River, MA 02721-2366

Mailing address

528 Newton St
Fall River, MA 02721-2366
Phone (508) 675-1522

Other identifiers 39

Identifier	Type	State	Issuer
000000044649	Other	MA	BOSTON MEDICAL CENTER
2001781	Medicaid	MA
1609821651	Other	MA	NATIONAL PROVIDER IDENTIFIER
J18522	Other	MA	BLUECROSS/BLUE SHIELD OF MASS
J23685	Other	MA	BCBS MA
P00373184	Other	MA	RAILROAD MEDICARE
000000049693	Other	MA	BMC HEALTHNET
1245229384	Other	RI	BLUE CHIP RI (HMO)
1245229384	Other	MA	CELTICARE HEALTH PLAN OF MASS
408537	Other	MA	BLUE CHIP OF R.I.
AA98069	Other	MA	PILGRIM HEALTH CARE
M18892	Other	MA	BLUE CROSS BLU SHIELD OF MASS
NP415101	Other	MA	BLUE CROSS BLUE SHIELD OF MA
1316922149	Other	RI	BLUE CHIP RI (HMO)/BLUE CROSS BLUE SHIELD OF RI
7372256	Other	MA	AETNA MA
964850-01	Other	MA	NETWORK HEALTH
9709860	Medicaid	MA
9842957	Other	MA	CIGNA
0037831	Other	MA	NEIGHBORHOOD HELATH PLAN
010460	Other	MA	TUFTS HEALTH PLAN
110094147A	Medicaid	MA
29247-6	Other	MA	RHODE ISLAND BLUE CROSS BLUE SHIELD
712059	Other	MA	TUFTS
2019540	Medicaid	MA
2117177	Medicaid	MA
6601003	Other	MA	UNITED HEALTHCARE OF N.E.
1245229384	Other	RI	BCBS RI
1245229384	Other	MA	NEIGHBORHOOD HEALTH PLAN
1316922149	Other		NATIONAL PROVIDER IDENTIFIER
9735721	Medicaid	MA
AA77017	Other	MA	PILGRIM HEALTH CARE
NP415101	Other	MA	MEDICARE
0322024	Medicaid	MA
1790880490	Other	MA	BOSTON MEDICAL CENTER
3694205	Other	MA	AETNA, US HEALTHCARE
68741	Other	MA	HARVARD PILGRIM
792971	Other	MA	TUFTS HEALTH PLAN
96427402	Other	MA	NETWORK HEALTH
AA84681	Other	MA	HARVARD PILGRIM

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Christopher J Superczynski, M.D.
- Internal Medicine Physician
- Lincoln, RI
- NPI 1184621138
NPD (past)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1326094905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 NEWTON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212366",
            "telephone_number": "508-675-1522",
            "fax_number": "508-676-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 NEWTON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212366",
            "telephone_number": "508-675-1522",
            "fax_number": "508-676-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMED INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "MEDEIROS",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-675-1522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "000000044649",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001781",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1609821651",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD OF MASS",
            "identifier": "J18522",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J23685",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00373184",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000049693",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP RI (HMO)",
            "identifier": "1245229384",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CELTICARE HEALTH PLAN OF MASS",
            "identifier": "1245229384",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF R.I.",
            "identifier": "408537",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM HEALTH CARE",
            "identifier": "AA98069",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLU SHIELD OF MASS",
            "identifier": "M18892",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MA",
            "identifier": "NP415101",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP RI (HMO)/BLUE CROSS BLUE SHIELD OF RI",
            "identifier": "1316922149",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MA",
            "identifier": "7372256",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "964850-01",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9709860",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9842957",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HELATH PLAN",
            "identifier": "0037831",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "010460",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110094147A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND BLUE CROSS BLUE SHIELD",
            "identifier": "29247-6",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712059",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019540",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117177",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF N.E.",
            "identifier": "6601003",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "1245229384",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1245229384",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1316922149",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9735721",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM HEALTH CARE",
            "identifier": "AA77017",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NP415101",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322024",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "1790880490",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, US HEALTHCARE",
            "identifier": "3694205",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "68741",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "792971",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "96427402",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA84681",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.