Individual provider Active NPI

Jay D Markham, M.D.

  • Cardiovascular Disease Physician
  • Springfield, MA
National Provider Identifier
1427022508
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
72927 Issued in MA
Practice address
300 Stafford St Ste 102
Springfield, MA 01104-3581
Phone
(413) 748-7095
NPI assigned
Feb 15, 2006
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 72927 MA Primary

Addresses

Primary practice location

300 Stafford St Ste 102
Springfield, MA 01104-3581

Mailing address

2 Medical Center Dr
Suite 410
Springfield, MA 01107-1270
Phone (413) 781-5735

Other identifiers 1

IdentifierTypeStateIssuer
3078671MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmarkham6748@direct.riverbendmedical.com Direct

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
I20050421001060 MA Practitioner - Cardiovascular Disease (Cardiology) 4981689130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Stafford St
Suite 154
Springfield, MA 01104-3583
Phone (413) 748-7095

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72927MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Cardiology Associates ,Inc. Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
Pioneer Valley Cardiology Associates, Inc CurrentSince Oct 1, 2012 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Jun 1, 2001 Accepting new patients
Pioneer Valley Cardiology, P.C. Cardiovascular Disease Current Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

2 Medical Center Dr
Ste 410
Springfield, MA 01107
Phone (413) 781-5735

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

299 Carew St
Ste 310
Springfield, MA 01104
Phone (413) 732-1928

300 Stafford St
Ste 101
Springfield, MA 01104
Phone (413) 732-1928

300 Stafford St
Ste 102
Springfield, MA 01104
Phone (413) 452-0477

300 Stafford St
Ste 154
Springfield, MA 01104
Phone (413) 732-1928

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jmarkham2387912@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1427022508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE 410",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-781-5735",
            "fax_number": "413-732-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST STE 102",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043581",
            "telephone_number": "413-748-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "JAY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "72927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078671",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmarkham6748@direct.riverbendmedical.com",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "300 Stafford St Ste 102",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011043581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.