Individual provider Active NPI

Christopher Wesley Humphreys, MD

  • Pulmonary Disease Physician
  • Salem, MA
National Provider Identifier
1447240866
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M4822 Issued in TX
Practice address
55 Highland Ave
Suite 104 (North Shore Pulmonary Associates)
Salem, MA 01970-2185
Phone
(978) 745-4489
Fax
(978) 741-3131
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X M4822 TX Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M4822 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X M4822 TX
Pulmonary Disease Physician 207RP1001X 237653 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 237653 MA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 237653 MA

Addresses

Primary practice location

55 Highland Ave
Suite 104 (North Shore Pulmonary Associates)
Salem, MA 01970-2185

Mailing address

55 Highland Ave
Suite 104 (North Shore Pulmonary Associates)
Salem, MA 01970-2185
Phone (978) 745-4489

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
I20090330000372 MA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 5294805909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

1069 Broadway
Saugus, MA 01906-3210
Phone (781) 233-1450

55 Highland Ave
Salem, MA 01970-2100

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551

900 Cummings Ctr
Suite 107T
Beverly, MA 01915-6196
Phone (978) 922-0357

Salem Hospital Medical Staff Office
81 Highland Ave Wheelock 6
Salem, MA 01970-2714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4822TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc Pulmonary Disease CurrentSince Nov 1, 2009 Accepting new patients
Austin Critical Care Specialists PA Critical Care Medicine Past Accepting new patients
North Shore Pulmonary Associates, Inc Pulmonary Disease PastSince Dec 5, 2007 Accepting new patients
Austin Critical Care Specialists PA Critical Care Medicine Past Accepting new patients
Williamson County Pulmonary & Sleep Study Associates PA Pulmonary Disease Past Accepting new patients
Williamson Pulmonary &Sleep Associates, P.L.L.C. Pulmonary Disease Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

55 Highland Ave
Ste 104
Salem, MA 01970
Phone (978) 745-4489

Interoperability endpoints

  • Direct secure messaging: humphreys.christopher.nsmc@direct.partners.masshiway.net

Organizations & group practices 6

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 2

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1447240866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "SUITE 104 (NORTH SHORE PULMONARY ASSOCIATES)",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702185",
            "telephone_number": "978-745-4489",
            "fax_number": "978-741-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "SUITE 104 (NORTH SHORE PULMONARY ASSOCIATES)",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702185",
            "telephone_number": "978-745-4489",
            "fax_number": "978-741-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "CHRISTOPHER",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M4822",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M4822",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "M4822",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "237653",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "237653",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "237653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.