Active NPI
Elizabeth T Siraco, M.D.
- Family Medicine Physician
- Northbridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 150822
- Practice address
- 100 Commerce Dr
Northbridge, MA 01534-1415 - Phone
- (508) 234-6311
- Fax
- (508) 234-4215
- NPI assigned
- Jul 6, 2006
- Last updated
- Dec 12, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 150822 | MA | Primary |
Addresses
Primary practice location
100 Commerce Dr
Northbridge, MA 01534-1415
Mailing address
9 Industrial Rd
Suite 5
Milford, MA 01757-3735
Phone (508) 473-1480
Other names 1
- Elizabeth Thomann
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
- Family Practice
- Education
- University of Massachusetts Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Commerce Dr
Northbridge, MA 01534-1415
Phone (508) 234-6311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150822 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Regional Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Milford Regional Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020
100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338
9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480
100 Commerce Dr
Northbridge, MA 01534
Phone (508) 234-6311
200 Commerce Dr
Ste 2
Northbridge, MA 01534
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- siraco.elizabeth.tcma@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Milford, MA
- NPI 1902856024
Family Medicine
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Family Medicine
-
dba Sports Medicine & Wellness in Medway
- Sports Medicine (Family Medicine) Physician
- Medway, MA
- NPI 1508681321
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Milford, MA
- NPI 1568828796
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1598797359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 INDUSTRIAL RD",
"address_2": "SUITE 5",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573735",
"telephone_number": "508-473-1480",
"fax_number": "508-473-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMERCE DR",
"city": "NORTHBRIDGE",
"state": "MA",
"postal_code": "015341415",
"telephone_number": "508-234-6311",
"fax_number": "508-234-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRACO",
"first_name": "ELIZABETH",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "150822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "THOMANN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Northbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.