Individual provider Active NPI

Connie Yingyi Huang, M.D.

  • Gastroenterology Physician
  • Salem, MA
National Provider Identifier
1578901088
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
279884 Issued in MA
Practice address
55 Highland Ave Ste 101
Salem, MA 01970-2100
Phone
(310) 222-2401
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 279884 MA Primary

Addresses

Primary practice location

55 Highland Ave Ste 101
Salem, MA 01970-2100

Mailing address

55 Highland Ave Ste 101
Salem, MA 01970-2100

Other practice location 1

104 Endicott St Ste 300
Danvers, MA 01923-3877
Phone (978) 882-6777

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
I20190910002959 MA Practitioner - Gastroenterology 3779812151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

55 Highland Ave
Suite 101
Salem, MA 01970-2100
Phone (978) 741-4171

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Upper gastrointestinal (GI) endoscopy for acid reflux86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Oct 24, 2019 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Oct 24, 2019 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Aug 1, 2019 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

104 Endicott St
Ste 300
Danvers, MA 01923
Phone (978) 741-4171

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

55 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 740-2300

Interoperability endpoints

  • Direct secure messaging: huang.connie.nsmc@direct.partners.masshiway.net

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 and National Provider Directory roles.

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1578901088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "310-222-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Endicott St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019233877",
            "country_code": "US",
            "telephone_number": "978-882-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "CONNIE",
        "middle_name": "YINGYI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "279884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.