Active NPI
Valerie F Pietry, FAMILY PRACTICE
- Family Medicine Physician
- Worcester, MA
National Provider Identifier
1356352439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 75810
- Practice address
- 26 Queen St
Medical
Worcester, MA 01610-2473 - Phone
- (508) 860-7700
- Fax
- (508) 860-7990
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 75810 | MA | Primary |
Addresses
Primary practice location
26 Queen St
Medical
Worcester, MA 01610-2473
Mailing address
26 Queen St
Medical
Worcester, MA 01610-2473
Phone (508) 860-7700
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300709 | Medicaid | MA | |
| 347299 | Other | MA | CIGNA |
| 70948 | Other | MA | HARVARD PILGRIM |
| 8093 | Other | MA | FALLON SELECT |
| 99734401 | Other | MA | NETWORK HEALTH |
| 0080097 | Other | MA | EVERCARE-GROUP |
| 0105218 | Other | MA | EVERCARE |
| 208120201 | Other | MA | UNITED HEALTHCARE |
| Y10141 | Other | MA | BCBS-GROUP |
| Y02737 | Other | MA | BCBS |
| 042485308 | Other | MA | NETWORK HEALTH-GROUP |
| 0006767 | Other | MA | NHP-GROUP |
| 0001342 | Other | MA | NHP |
| 33434 | Other | MA | CMSP |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060509000245 | MA | Practitioner - Family Practice | 3678584422 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75810 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356352439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"address_2": "MEDICAL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-860-7700",
"fax_number": "508-860-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"address_2": "MEDICAL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-860-7700",
"fax_number": "508-860-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRY",
"first_name": "VALERIE",
"middle_name": "F",
"credential": "FAMILY PRACTICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "75810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300709",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "347299",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "70948",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON SELECT",
"identifier": "8093",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99734401",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE-GROUP",
"identifier": "0080097",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0105218",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "208120201",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-GROUP",
"identifier": "Y10141",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y02737",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH-GROUP",
"identifier": "042485308",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP-GROUP",
"identifier": "0006767",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0001342",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP",
"identifier": "33434",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.