Marie Marguerite Peloquin, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

276800 Issued in MA

Practice address

480 Maple St. Suite 201
Lahey Outpatient Center, Danvers
Danvers, MA 01923

Phone

(978) 646-7070

Fax

(978) 750-6988

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

91.98 of 100Reported as apm

Quality

76.59

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpeloquin118585@direct.bilh.masshiway.net

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.

• Commonwealth of Massachusetts

  • Intellectual Disabilities Intermediate Care Facility
  • Hathorne, MA
  • NPI 1598957391
  NPD (past)
• Northeast Hospital Corp.

  • Diabetes Educator Registered Nurse
  • Danvers, MA
  • NPI 1588861231
  NPD (past)
• Northeast Hospital Corporation

  • Critical Access Hospital
  • Danvers, MA
  • NPI 1508052218
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1669958252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 LOWELL ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801761",
            "telephone_number": "781-995-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST. SUITE 201",
            "address_2": "LAHEY OUTPATIENT CENTER, DANVERS",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-646-7070",
            "fax_number": "978-750-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOQUIN",
        "first_name": "MARIE",
        "middle_name": "MARGUERITE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "276800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276800",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Pellegrini
• Laurie Frances Pellerin, LICSW
• Nancilee Pelletier
• Nicole Marie Pelletier, LSW
• Andrea Pellizzari
• Yeraimy Pena Mejia
• Jeanne Pendergast, LMHC
• Crystal C Peralta
• Donna Lynne Peredina Cullen, BA
• Charlotte Pereira

• Geriatric Medicine (Internal Medicine) Physician in Danvers, MA
• Providers in Danvers, MA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.