Individual provider Active NPI

Janice Joy Pegels, M.D.

  • Family Medicine Physician
  • Northampton, MA
National Provider Identifier
1619962537
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
250946 Issued in MA
Practice address
395 Pleasant St
Northampton, MA 01060-3914
Phone
(413) 584-7787
Fax
(413) 584-7778
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 250946 MA Primary

Addresses

Primary practice location

395 Pleasant St
Northampton, MA 01060-3914

Mailing address

395 Pleasant St
Northampton, MA 01060-3914
Phone (413) 584-7787

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
I20130515000208 MA Practitioner - Family Practice 8123125606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northampton Integrative Medicine, LLCGroup PAC ID 5092093922, 5 clinicians

Practice addresses (Care Compare)

395 Pleasant St
Northampton, MA 01060-3914
Phone (413) 584-7787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250946MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northampton Integrative Medicine, LLC Family Medicine CurrentSince Nov 14, 2016 Accepting new patients
Harbor Health Services, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Harbor Health Services, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Family Planning of South Central New York, Inc. Past Accepting new patients

Locations

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

398 Neponset Ave
Dorchester, MA 02122
Phone (617) 282-3200

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

395 Pleasant St
Northampton, MA 01060
Phone (413) 584-7787

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6285/brand/1/csg/1/fhir/r4

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 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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1619962537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603914",
            "telephone_number": "413-584-7787",
            "fax_number": "413-584-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603914",
            "telephone_number": "413-584-7787",
            "fax_number": "413-584-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGELS",
        "first_name": "JANICE",
        "middle_name": "JOY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "250946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.