Individual provider Active NPI

Safdar Medina, M.D.

  • Pediatrics Physician
  • Northbridge, MA
National Provider Identifier
1508854183
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
160789 Issued in MA
Practice address
200 Commerce Dr
Northbridge, MA 01534-1425
Phone
(508) 334-0100
Fax
(508) 334-0122
NPI assigned
Oct 8, 2005
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 160789 MA Primary

Addresses

Primary practice location

200 Commerce Dr
Northbridge, MA 01534-1425

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

281 E Hartford Ave
Uxbridge, MA 01569-1278
Phone (508) 278-5573 ext. 38476

Other identifiers 1

IdentifierTypeStateIssuer
3205711MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smedina23292@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
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
I20080324000013 MA Practitioner - Pediatric Medicine 4385720945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

281 E Hartford Ave
Uxbridge, MA 01569-1278
Phone (508) 278-5573

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160789MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Pediatrics CurrentSince May 3, 2010 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince May 3, 2010 Accepting new patients

Locations

200 Commerce Dr
Northbridge, MA 01534
Phone (508) 234-6260

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: smedina23292@umassmemorial.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1508854183",
    "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": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMERCE DR",
            "city": "NORTHBRIDGE",
            "state": "MA",
            "postal_code": "015341425",
            "telephone_number": "508-334-0100",
            "fax_number": "508-334-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 E Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Uxbridge",
            "state": "MA",
            "postal_code": "015691278",
            "country_code": "US",
            "telephone_number": "508-278-5573 x38476",
            "fax_number": "508-278-7142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "SAFDAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-08",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "160789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3205711",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smedina23292@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "281 E Hartford Ave",
            "city": "Uxbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015691278",
            "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": "281 E Hartford Ave",
            "city": "Uxbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015691278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northbridge, MA

Sources for this page

Verify at the official NPI Registry.