Active NPI
Chestnut Medical Associates, Inc
- Internal Medicine Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHESTNUT MEDICAL ASSOCIATES, INC
- Practice address
- 300 Birnie Ave
Ste 102
Springfield, MA 01107-1107 - Phone
- (413) 734-4206
- Fax
- (413) 737-8882
- NPI assigned
- Aug 17, 2005
- Last updated
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John A Egelhofer, MD
- Title
- President
- Phone
- (413) 734-4206
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
300 Birnie Ave
Ste 102
Springfield, MA 01107-1107
Mailing address
300 Birnie Ave
Ste 102
Springfield, MA 01107-1107
Phone (413) 734-4206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9786694 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0067770 | Chestnut Medical Associates, Inc | Certificate of waiver | Jul 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
300 Birnie Ave
Springfield, MA 01107
Phone (413) 736-5649
300 Birnie Ave
Ste 102
Springfield, MA 01107
Phone (413) 734-4206
300 Birnie Ave
Ste 102S
Springfield, MA 01107
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Internal Medicine Physician
- West Springfield, MA
- NPI 1730157298
-
- Nurse Practitioner
- Springfield, MA
- NPI 1760947410
-
- Family Nurse Practitioner
- Belchertown, MA
- NPI 1134791155
-
- Family Nurse Practitioner
- Springfield, MA
- NPI 1427633148
-
- Primary Care Nurse Practitioner
- Springfield, MA
- NPI 1962767905
-
- Medical Physician Assistant
- Springfield, MA
- NPI 1730668013
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1396737904
-
- Nurse Practitioner
- Longmeadow, MA
- NPI 1053612309
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1972595775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1679565543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BIRNIE AVE",
"address_2": "STE 102",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071107",
"telephone_number": "413-734-4206",
"fax_number": "413-737-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BIRNIE AVE",
"address_2": "STE 102",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071107",
"telephone_number": "413-734-4206",
"fax_number": "413-737-8882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTNUT MEDICAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-17",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "EGELHOFER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-734-4206",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9786694",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.