New England Gastroenterology Associates, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

NEW ENGLAND GASTROENTEROLOGY ASSOCIATES, PC

Practice address

100 Central St
4TH Floor
Worcester, MA 01608-1209

Phone

(508) 831-6708

Fax

(508) 831-0272

NPI assigned

Jul 8, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter E. Krims, M.D.NPI 1962400366

Title

President

Phone

(508) 831-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Srikant Muddana, MD

  • Gastroenterology Physician
  • Worcester, MA
  • NPI 1629125448
  Medicare reassignment Care Compare group NPD
• Kelly J Ocallahan, M.D.

  • Gastroenterology Physician
  • Worcester, MA
  • NPI 1427056795
  Medicare reassignment Care Compare group NPD
• Kyung H Kim, M.D.

  • Gastroenterology Physician
  • Worcester, MA
  • NPI 1619974656
  Medicare reassignment Care Compare group
• Peter E Krims, M.D.

  • Gastroenterology Physician
  • Acton, MA
  • NPI 1962400366
  NPD (past) Authorized official
• Kern J Bayard, MD

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1699777888
  NPD (past)
• Margaret M Kamin, N.P.

  • Nurse Practitioner
  • Auburn, MA
  • NPI 1356348395
  NPD (past)
• Jan F Leitao-Pina, MD

  • General Practice Physician
  • Worcester, MA
  • NPI 1063414266
  NPD (past)
• Ronald J Pantano, MD

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1619979804
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497753958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL ST",
            "address_2": "4TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-831-6708",
            "fax_number": "508-831-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRAL ST",
            "address_2": "4TH FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-831-6708",
            "fax_number": "508-831-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND GASTROENTEROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRIMS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-831-0708",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9705848",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.