Active NPI
Michael G Newman, M.D.
- Gastroenterology Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 79870
- Practice address
- 100 Cummings Ctr
Ste 107C
Beverly, MA 01915-6115 - Phone
- (978) 232-1120
- Fax
- (978) 232-0110
- NPI assigned
- Jan 12, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 79870 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr
Ste 107C
Beverly, MA 01915-6115
Mailing address
100 Cummings Ctr
Ste 107C
Beverly, MA 01915-6115
Phone (978) 232-1120
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3126196 | Medicaid | MA | |
| 079870 | Other | MA | TUFTS |
| 2010200 | Other | MA | AETNA |
| 30302 | Other | MA | HARVARD PILGRIM |
| 36121 | Other | MA | FALLON |
| J30782 | Other | MA | BLUE CROSS BLUE SHIELD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79870 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Hallmark Health Medical Associates Inc | Gastroenterology | Current | Accepting new patients |
| Pratt Medical Group, Inc | Gastroenterology | Current | Accepting new patients |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Tufts Medical Center, Inc. | Past | Accepting new patients |
Locations
100 Cummings Ctr
Ste 107C
Beverly, MA 01915
Phone (978) 232-1120
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
425 Revere St
Revere, MA 02151
Phone (781) 286-1313
51 Montvale Ave
Stoneham, MA 02180
Phone (781) 213-5200
Interoperability endpoints
- mnewman28830@tuftsmedicine.direct-ci.com
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 and National Provider Directory roles.
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- NPI 1235147760
-
- Family Medicine Physician
- Medford, MA
- NPI 1770563900
Gastroenterology
-
- Pulmonary Disease Physician
- Boston, MA
- NPI 1508187642
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1053350306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487704276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "STE 107C",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "978-232-1120",
"fax_number": "978-232-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "STE 107C",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "978-232-1120",
"fax_number": "978-232-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "79870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3126196",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "079870",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2010200",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "30302",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "36121",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J30782",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.