Individual provider Active NPI

Joseph J Daigneault, M.D.

  • Family Medicine Physician
  • Shrewsbury, MA
National Provider Identifier
1497736367
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74792 Issued in MA
Practice address
24 Julio Dr
Shrewsbury, MA 01545-3053
Phone
(508) 845-1436
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 74792 MA Primary

Addresses

Primary practice location

24 Julio Dr
Shrewsbury, MA 01545-3053

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other identifiers 1

IdentifierTypeStateIssuer
3111750MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address jdaigneault22488@UmassMemorial.direct-ci.com

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
I20050608000392 MA Practitioner - Family Practice 0941243182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Health Urgent Care LLCGroup PAC ID 4486976792, 39 clinicians

Practice addresses (Care Compare)

198 Littleton Rd
Suite 101
Westford, MA 01886-3429
Phone (978) 323-0302

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74792MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health Urgent Care, LLC Family Medicine CurrentSince Jul 15, 2019 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Apr 29, 1993 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine CurrentSince Apr 29, 1993 Accepting new patients

Locations

24 Julio Dr
Shrewsbury, MA 01545
Phone (508) 845-1436

198 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 323-0302

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: jdaigneault22488@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.

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1497736367",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JULIO DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453053",
            "telephone_number": "508-845-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGNEAULT",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "74792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111750",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "24 Julio Dr",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015453053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdaigneault22488@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "24 Julio Dr",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015453053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.