NPIMap

Organization Active NPI

Chelmsford Family Practice, PC

  • Family Medicine Physician
  • North Chelmsford, MA
National Provider Identifier
1629082177
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHELMSFORD FAMILY PRACTICE, PC
Practice address
10 Adams St
North Chelmsford, MA 01863-1746
Phone
(978) 251-3159
Fax
(978) 251-0636
NPI assigned
Jul 28, 2006
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Jeffrey M Byrne, M.D.NPI 1346209442
Title
Owner
Phone
(978) 251-3159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10 Adams St
North Chelmsford, MA 01863-1746

Mailing address

PO Box 248
North Chelmsford, MA 01863-0248
Phone (978) 251-3159

Other identifiers 1

IdentifierTypeStateIssuer
9786619MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000273 MA Part B Supplier - Clinic/Group Practice 7113997396 Receives reassigned benefits from 12 practitioners
Practice locations: North Chelmsford, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0072137Chelmsford Family Practice10 Adams St, North Chelmsford, MA 01863Provider-performed microscopyMar 30, 2028

National Provider Directory

National Provider Directory

Locations

10 Adams St
North Chelmsford, MA 01863
Phone (978) 251-3159

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1629082177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018630248",
            "telephone_number": "978-251-3159",
            "fax_number": "978-251-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631746",
            "telephone_number": "978-251-3159",
            "fax_number": "978-251-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELMSFORD FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-251-3159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786619",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.