Individual provider Active NPI

Richard S. Tilson, MD

  • Gastroenterology Physician
  • Lowell, MA
National Provider Identifier
1346336831
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
208339 Issued in MA
Practice address
41 Wellman St Ste 400
Lowell, MA 01851-5161
Phone
(978) 459-6737
Fax
(855) 818-1869
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 208339 MA Primary

Addresses

Primary practice location

41 Wellman St Ste 400
Lowell, MA 01851-5161

Mailing address

600 Primrose St Ste 203
Haverhill, MA 01830-2659
Phone (978) 459-6737

Other identifiers 6

IdentifierTypeStateIssuer
405299OtherMATUFTS HEALTH PLAN
0027528OtherMANEIGHBORHOOD HEALTH PLAN
693290OtherMAHARVARD PILGRIM
J25362OtherMABLUE CROSS
0177181MedicaidMA
3670044-002OtherMACIGNA

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
I20041026000682 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 4385605906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Gastroenterology Consultants, P.C.Group PAC ID 0941260897, 35 clinicians

Practice addresses (Care Compare)

300 Federal St
Suite 103
Andover, MA 01810-1038
Phone (978) 459-6737

41 Wellman St
Suite 400
Lowell, MA 01851-5161
Phone 9784596737143

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy246
Upper gastrointestinal (GI) endoscopy for acid reflux156

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Anesthesia Associates PLLC Current Accepting new patients
Igc III PLLC Gastroenterology CurrentSince Feb 6, 2024 Accepting new patients
Integrated Gastroenterology Consultants, PC Gastroenterology CurrentSince Jan 1, 2003 Accepting new patients
Igc LLC Gastroenterology Past Accepting new patients

Locations

300 Federal St
Ste 103
Andover, MA 01810
Phone (978) 459-6737

41 Wellman St
Ste 400
Lowell, MA 01851
Phone (978) 459-6737

20 Research Pl
Ste 220
North Chelmsford, MA 01863
Phone (978) 459-6737

Interoperability endpoints

  • Direct secure messaging: richard.tilson.1@20039.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1346336831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PRIMROSE ST STE 203",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302659",
            "telephone_number": "978-459-6737",
            "fax_number": "978-459-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WELLMAN ST STE 400",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515161",
            "telephone_number": "978-459-6737",
            "fax_number": "855-818-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILSON",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "208339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "405299",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0027528",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "693290",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J25362",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177181",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3670044-002",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.