Connie R Drexler, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

71130 Issued in MA

Practice address

112 Main St
Suite 108
Northborough, MA 01532-1914

Phone

(508) 393-9503

NPI assigned

Feb 27, 2006

Last updated

Nov 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdrexler22568@umassmemorial.direct-ci.com

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.

• Integral Health Partners LLC

  • Nurse Practitioner
  • Worcester, MA
  • NPI 1679183545
  Medicare reassignment NPD
• Descarte Inpatient Services

  • Internal Medicine Physician
  • Clinton, MA
  • NPI 1326086844
  NPD (past)
• Huxley Inpatient Services

  • Internal Medicine Physician
  • Marlborough, MA
  • NPI 1932141405
  NPD (past)
• Jewish Healthcare Center, Inc

  • Skilled Nursing Facility
  • Worcester, MA
  • NPI 1598755027
  NPD (past)
• Lutheran Housing Corporation - Brockton

  dba Lutheran Rehabilitation and Skilled Care Center

  • Skilled Nursing Facility
  • Worcester, MA
  • NPI 1770158438
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1417923673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "address_2": "SUITE 108",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREXLER",
        "first_name": "CONNIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "71130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048454",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdrexler22568@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "112 Main St",
            "address_2": "Suite 108",
            "city": "Northborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015321914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "112 Main St",
            "address_2": "Suite 108",
            "city": "Northborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015321914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Marie Dodge, PT
• Brigit Donohue, DDS
• Roshani Badwaik Douangphachanh
• Christina Michelle Doucette, MH
• Dr. Alison Mehta DO LLC
• Jennifer T. Drohan, R.D.
• Dane Christian Durepo, BCBA
• Emily Devaprasad, LMHC, LLC
• En Psychotherapy, LLC (Elizabeth Nixon SOLE MBR)
• Eric N Chu, DMD, PLLC

• Internal Medicine Physician in Northborough, MA
• Providers in Northborough, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.

Verify at the official NPI Registry.