NPIMap

Individual provider Active NPI

Timothy J Odonnell, MD

  • Internal Medicine Physician
  • Framingham, MA
National Provider Identifier
1346206091
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161112 Issued in MA
Practice address
571 Union Ave
Framingham, MA 01702
Phone
(508) 665-5006
Fax
(508) 370-0229
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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 161112 MA Primary

Addresses

Primary practice location

571 Union Ave
Framingham, MA 01702

Mailing address

571 Union Ave
Framingham, MA 01702
Phone (508) 665-5006

Other identifiers 1

IdentifierTypeStateIssuer
0142662MedicaidMA

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
I20100721000767 MA Practitioner - Internal Medicine 5395877625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

45 Dan Rd
Canton, MA 02021-2852
Phone (781) 867-2050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161112MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Healthcare LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Nov 7, 2016 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Nov 7, 2016 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Milford Regional Physician Group, Inc. Past Accepting new patients
Milford Regional Physician Group, Inc. Internal Medicine Past Accepting new patients

Locations

277 Washington St
Abington, MA 02351
Phone (781) 871-0200

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Organizations & group practices 6

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 10

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1346206091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-665-5006",
            "fax_number": "508-370-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-665-5006",
            "fax_number": "508-370-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "161112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142662",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.