Active NPI
Jonatas Deoliveira
- Family Nurse Practitioner
- Fitchburg, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2330540
- Practice address
- 326 Nichols Rd
Fitchburg, MA 01420-1914 - Phone
- (978) 878-8100
- NPI assigned
- Oct 31, 2019
- Sex
- Male
- 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 Nurse Practitioner | 363LF0000X | RN2330540 | MA | Primary |
Addresses
Primary practice location
326 Nichols Rd
Fitchburg, MA 01420-1914
Mailing address
326 Nichols Rd
Fitchburg, MA 01420-1914
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
378 Maple Ave
Shrewsbury, MA 01545-2673
Phone (508) 368-7820
Hospital & facility affiliations
- St Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients |
Locations
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
14 Manning Ave
Leominster, MA 01453
Phone (978) 847-0110
378 Maple Ave
Shrewsbury, MA 01545
Phone (508) 595-2513
5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
Interoperability endpoints
- jon.deoliveira.p1@direct.chcfhc.nextgenshare.com
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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- Federally Qualified Health Center (FQHC)
- Leominster, MA
- NPI 1205566106
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1225742174
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1639713753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 NICHOLS RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014201914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 NICHOLS RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014201914",
"telephone_number": "978-878-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEOLIVEIRA",
"first_name": "JONATAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2330540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.