Individual provider Active NPI

Valerie B Veridiano, MD

  • Internal Medicine Physician
  • Millbury, MA
National Provider Identifier
1548211303
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
73595 Issued in MA
Practice address
65 Canal St
Millbury, MA 01527-3266
Phone
(508) 865-9960
Fax
(508) 865-3399
NPI assigned
May 15, 2006
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 73595 MA Primary

Addresses

Primary practice location

65 Canal St
Millbury, MA 01527-3266

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (508) 334-8815

Other identifiers 18

IdentifierTypeStateIssuer
27036OtherHEALTH START
5587662OtherAETNA US HEALTHCARE
J12379OtherBLUE CARE ELECT
8900485OtherEVERCARE
9900104OtherFALLON COMMUNITY HEALTH P
J12379OtherBLUE SHIELD INDEMNITY
042472266OtherTHREE RIVERS
042472266OtherPRIVATE HEALTHCARE SYSTEM
10190877OtherRAILROAD MEDICARE
27036OtherCHILDRENS MEDICAL SECURIT
3100961MedicaidMA
8536321OtherCIGNA HEALTH PLAN
784206OtherMVP HEALTH CARE
1061481OtherFIRST HEALTH
AA6093OtherHARVARD PILGRIM HEALTHCAR
042472266OtherHEALTHCARE VALUE MANAGEME
042472266OtherONE HEALTH PLAN
J12379OtherBLUE SHIELD HMO BLUE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vveridiano23927@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
I20050504000029 MA Practitioner - Internal Medicine 9830139401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (337) 408-0805

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Massachusetts LLC Internal Medicine CurrentSince Feb 27, 2023 Accepting new patients
CH Specialty Services Ma PC Internal Medicine CurrentSince Mar 5, 2023 Accepting new patients
New England Rehabilitation Services of Central Massachusetts Inc Past Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Reliant Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vveridiano23927@umassmemorial.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1548211303",
    "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": "508-334-8815",
            "fax_number": "508-334-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CANAL ST",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273266",
            "telephone_number": "508-865-9960",
            "fax_number": "508-865-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERIDIANO",
        "first_name": "VALERIE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH START",
            "identifier": "27036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5587662",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE ELECT",
            "identifier": "J12379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8900485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH P",
            "identifier": "9900104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDEMNITY",
            "identifier": "J12379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "10190877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MEDICAL SECURIT",
            "identifier": "27036",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100961",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "8536321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "784206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1061481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA6093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE VALUE MANAGEME",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HMO BLUE",
            "identifier": "J12379",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vveridiano23927@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "65 Canal St",
            "city": "Millbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015273266",
            "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": "65 Canal St",
            "city": "Millbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015273266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millbury, MA

Sources for this page

Verify at the official NPI Registry.