Active NPI
Jancy Thomas, MD
- Internal Medicine Physician
- Leominster, MA
National Provider Identifier
1457334187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 224036
- Practice address
- 60 Hospital Rd
Leominster, MA 01453-2205 - Phone
- (978) 466-4169
- Fax
- (978) 466-4164
- NPI assigned
- Nov 28, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 224036 | MA | Primary |
Addresses
Primary practice location
60 Hospital Rd
Leominster, MA 01453-2205
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J29038 | Other | BCBS | |
| 93402 | Other | FALLON | |
| 491418 | Other | TUFTS | |
| AA97527 | Other | HPHC | |
| 2103711 | Medicaid | MA | |
| 204685284 | Other | UHC | |
| 5083007 | Other | AETNA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jthomas23863@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224036 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernard a Westerling III, MD, LLC | Past | Accepting new patients | |
| Huxley Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Descarte Inpatient Services | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- jthomas23863@umassmemorial.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fitchburg, MA
- NPI 1366606246
-
- Internal Medicine Physician
- Clinton, MA
- NPI 1326086844
-
- Internal Medicine Physician
- Marlborough, MA
- NPI 1932141405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1457334187",
"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",
"telephone_number": "800-225-8885",
"fax_number": "508-334-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532205",
"telephone_number": "978-466-4169",
"fax_number": "978-466-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JANCY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "224036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J29038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "93402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "491418",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA97527",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2103711",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "204685284",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5083007",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jthomas23863@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "60 Hospital Rd",
"city": "Leominster",
"state": "MA",
"country_code": "US",
"postal_code": "014532205",
"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": "60 Hospital Rd",
"city": "Leominster",
"state": "MA",
"country_code": "US",
"postal_code": "014532205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.