Active NPI
Elizabeth A Eagleson, M.D.
- Internal Medicine Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 224614
- Practice address
- 380 Plainfield St
Springfield, MA 01107-1524 - Phone
- (413) 794-4458
- Fax
- (413) 794-5131
- NPI assigned
- Jan 26, 2006
- Last updated
- Dec 22, 2017
- Sex
- Female
- 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 | 224614 | MA | Primary |
Addresses
Primary practice location
380 Plainfield St
Springfield, MA 01107-1524
Mailing address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31750 | Other | MA | BOSTON HEALTH NET |
| 0036803 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| EAJ29307 | Other | MA | BLUE CROSS BLUE SHIELD |
| 03203156 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
280 Chestnut St
Suite 2
Springfield, MA 01199-1001
380 Plainfield St
Springfield, MA 01107-1524
Phone (413) 794-4458
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Internal Medicine | Current | Accepting new patients |
| Holyoke Health Center Inc. | Past | Accepting new patients | |
| Holyoke Health Center Inc. | Past | Accepting new patients |
Locations
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
380 Plainfield St
Springfield, MA 01107
Phone (413) 794-4458
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Internal Medicine
-
dba Chicopee Health Center
- Community Health Clinic/Center
- Chicopee, MA
- NPI 1518948595
-
- Community Health Clinic/Center
- Holyoke, MA
- NPI 1740271022
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1538139993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 PLAINFIELD ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071524",
"telephone_number": "413-794-4458",
"fax_number": "413-794-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLESON",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "224614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON HEALTH NET",
"identifier": "31750",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0036803",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "EAJ29307",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03203156",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.