Active NPI
Diane Pingeton, MD
- Obstetrics & Gynecology Physician
- Worcester, MA
National Provider Identifier
1629029574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 155890
- Practice address
- 100 MLK Jr Blvd
Ste 300
Worcester, MA 01608-1209 - Phone
- (508) 755-4861
- Fax
- (508) 752-1392
- NPI assigned
- May 15, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 155890 | MA | Primary |
Addresses
Primary practice location
100 MLK Jr Blvd
Ste 300
Worcester, MA 01608-1209
Mailing address
100 MLK Jr. Boulevard
Ste 300
Worcester, MA 01608
Phone (508) 755-4861
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017872 | Other | NEIGHBORHOOD HEALTH | |
| 155890 | Other | TUFTS | |
| 3186253 | Medicaid | MA | |
| 98878703 | Other | NETWORK HEALTH | |
| 34464 | Other | FALLON | |
| 137817 | Other | HARVARD PILGRIM | |
| J19071 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155890 | MA | MD | Obstetrics & Gynecology Physician |
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": "1320192000000",
"number": "1629029574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MLK JR. BOULEVARD",
"address_2": "STE 300",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-755-4861",
"fax_number": "508-752-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MLK JR BLVD",
"address_2": "STE 300",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081209",
"telephone_number": "508-755-4861",
"fax_number": "508-752-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGETON",
"first_name": "DIANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "155890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0017872",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "155890",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3186253",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "98878703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "34464",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "137817",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J19071",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.