Active NPI
Gerald John Riffelmacher, M.D.
- Internal Medicine Physician
- Medford, MA
National Provider Identifier
1457351900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43699
- Practice address
- 101 Main St
Suite 202
Medford, MA 02155-4540 - Phone
- (781) 395-7638
- Fax
- (781) 395-2915
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- 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 | 43699 | MA | Primary |
Addresses
Primary practice location
101 Main St
Suite 202
Medford, MA 02155-4540
Mailing address
101 Main St
Suite 202
Medford, MA 02155-4540
Phone (781) 395-7638
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066602 | Medicaid | MA | |
| 3357 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 701485 | Other | MA | TUFTS HEALTH PLAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerald J. Riffelmacher, M.D., PC | Internal Medicine | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Medford, MA
- NPI 1851411656
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1457351900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MAIN ST",
"address_2": "SUITE 202",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554540",
"telephone_number": "781-395-7638",
"fax_number": "781-395-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MAIN ST",
"address_2": "SUITE 202",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554540",
"telephone_number": "781-395-7638",
"fax_number": "781-395-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFFELMACHER",
"first_name": "GERALD",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "43699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066602",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "3357",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "701485",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.