NPIMap

Individual provider Active NPI

Hans C Jeppesen, M.D.

  • Internal Medicine Physician
  • Salem, MA
National Provider Identifier
1669678298
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249997 Issued in MA
Practice address
55 Highland Ave Ste 304
Salem, MA 01970-2100
Phone
(978) 354-4611
Fax
(978) 354-4651
NPI assigned
Jun 21, 2007
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 249997 MA Primary

Addresses

Primary practice location

55 Highland Ave Ste 304
Salem, MA 01970-2100

Mailing address

PO Box 1163
Stratham, NH 03885-1163
Phone (603) 580-9445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120331000003 MA Practitioner - Internal Medicine 5092886077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charter Health PCGroup PAC ID 1153604079, 26 clinicians

Practice addresses (Care Compare)

55 Highland Ave
Suite 304
Salem, MA 01970-2100
Phone (978) 354-4611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. Internal Medicine CurrentSince Aug 27, 2020 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Aug 27, 2020 Accepting new patients
Charter Health PC Internal Medicine CurrentSince Dec 21, 2016 Accepting new patients
Charter LTC LLC Internal Medicine CurrentSince May 3, 2022 Accepting new patients
Hathorne SNF Operations LLC Past Accepting new patients
Danvers Management Systems Inc Past Accepting new patients
Alliance Health of Massachusetts Inc Past Accepting new patients
Peabody Management Systems Inc Past Accepting new patients
Elizabeth Seton Residence Inc. Past Accepting new patients
Brentwood Operator, LLC Past Accepting new patients
Blueberry Hill Operator LLC Past Accepting new patients
Harborside Massachusetts Limited Partnership Past Accepting new patients
Northeast Cardiology, Inc. Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8085

496 Lynnfield St
Ste 104
Lynn, MA 01904
Phone (781) 586-9300

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

Interoperability endpoints

  • Direct secure messaging: jeppesen.hans.ch@direct.partners.masshiway.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1669678298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038851163",
            "telephone_number": "603-580-9445",
            "fax_number": "844-252-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-354-4611",
            "fax_number": "978-354-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPESEN",
        "first_name": "HANS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "249997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.