Active NPI
Victoria Pamela Peters, DO
- Adult Medicine Physician
- Westborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 76807
- Practice address
- 1400 Computer Dr Ste 301
Westborough, MA 01581-1790 - Phone
- (617) 420-5316
- NPI assigned
- Jan 31, 2006
- Last updated
- Jan 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 76807 | MA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 76807 | MA |
Addresses
Primary practice location
1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Mailing address
780 Chestnut St
Ste 23
Springfield, MA 01107-1610
Phone (413) 787-2800
Other practice location 1
780 Chestnut St
Ste 23
Springfield, MA 01107-1610
Phone (413) 787-2800
Other practice location 2
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (833) 229-0957
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380001597 | Other | RAILROAD MEDICARE | |
| 724714 | Other | CONNECTICARE | |
| P00081931 | Other | RAILROAD MEDICARE PIN # | |
| 0102423 | Other | MA | EVERCARE |
| 3964761 | Other | CIGNA HEALTHCARE | |
| J13325 | Other | BC BS OF MA | |
| 3104435 | Medicaid | MA | |
| 3404310 | Other | AETNA HEALTH | |
| 768880 | Other | SECURE HORIZONS | |
| 0104426 | Other | MA | EVERCARE |
| DB0006 | Other | RAILROAD MEDICARE GRP # | |
| 18669 | Other | HEALTH NEW ENGLAND | |
| 3104435 | Other | MASSHEALTH MEDICAID | |
| 0032686 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 768880 | Other | TUFTS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Massachusetts, Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Current | Accepting new patients |
Locations
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
Interoperability endpoints
- vpeters@landmarkhealth-direct.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sound Physicians
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MA
- NPI 1063484467
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MA
- NPI 1922070341
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1437120094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 CHESTNUT ST",
"address_2": "STE 23",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071610",
"telephone_number": "413-787-2800",
"fax_number": "413-787-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COMPUTER DR STE 301",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811790",
"telephone_number": "617-420-5316"
}
],
"practiceLocations": [
{
"address_1": "780 Chestnut St",
"address_2": "Ste 23",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011071610",
"country_code": "US",
"telephone_number": "413-787-2800",
"fax_number": "413-787-2822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Dorrance St Ste 700",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029032014",
"country_code": "US",
"telephone_number": "833-229-0957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERS",
"first_name": "VICTORIA",
"middle_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MA",
"license": "76807",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MA",
"license": "76807",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "380001597",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "724714",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN #",
"identifier": "P00081931",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0102423",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3964761",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MA",
"identifier": "J13325",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3104435",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH",
"identifier": "3404310",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS",
"identifier": "768880",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0104426",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GRP #",
"identifier": "DB0006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "18669",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH MEDICAID",
"identifier": "3104435",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0032686",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "768880",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.