Individual provider Active NPI

Cynthia Ann De Meester, M.D., PH.D.

  • Pediatrics Physician
  • Chicopee, MA
National Provider Identifier
1558476168
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G86497 Issued in CA
Practice address
260 New Ludlow Rd
Chicopee, MA 01020-4324
Phone
(413) 533-3470
Fax
(413) 533-6859
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 100930 WI
Pediatrics Physician 208000000X 2022009603 MO
Pediatrics Physician 208000000X G86497 CA Primary

Addresses

Primary practice location

260 New Ludlow Rd
Chicopee, MA 01020-4324

Mailing address

71 Hartwell Rd
West Hartford, CT 06117-1912
Phone (805) 680-7672

Other practice location 1

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-0706

Other practice location 2

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MO, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170214001554 MI Practitioner - Pediatric Medicine 4486656501 Reassigns benefits to 3 organizations
I20220409000247 MO Practitioner - Pediatric Medicine 4486656501 Reassigns benefits to 2 organizations
I20230908001217 WI Practitioner - Pediatric Medicine 4486656501 Reassigns benefits to 12 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86497CAMDPediatrics Physician
100930WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 25, 2023 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Promed Healthcare CurrentSince Mar 15, 2019 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 25, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 2, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 25, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Ascension Medical Group Promed CurrentSince Mar 15, 2019 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 25, 2023 Accepting new patients
Ascension Medical Group Promed Pediatrics Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 2, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 25, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 25, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Oct 1, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 25, 2023 Accepting new patients
Trinity Health Grand Haven Hospital CurrentSince Mar 1, 2017 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 25, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 25, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 2, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Synanon Inc CurrentSince Feb 27, 2018 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 25, 2023 Accepting new patients
Western Mass Physician Associates Inc PastSince May 25, 2025 Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients
Western Mass Physician Associates Inc Pediatrics Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1091 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 604-0096

1310 Wisconsin St
Ste 204
Grand Haven, MI 49417
Phone (616) 844-4523

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: cdemeester210900@direct.aspirus.org
  • Direct secure messaging: cdemeester35013@direct.southcoast.org

Organizations & group practices 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1558476168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HARTWELL RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171912",
            "telephone_number": "805-680-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NEW LUDLOW RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204324",
            "telephone_number": "413-533-3470",
            "fax_number": "413-533-6859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Stout St",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "548685000",
            "country_code": "US",
            "telephone_number": "715-236-0706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 E Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042203",
            "country_code": "US",
            "telephone_number": "417-820-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE MEESTER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "100930",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2022009603",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G86497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.