NPIMap

Individual provider Active NPI

Jefferson Haley Dickey, MD

  • Internal Medicine Physician
  • Chicopee, MA
National Provider Identifier
1689696924
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75064 Issued in MA
Practice address
260 New Ludlow Road
Western Mass Physician Associates, Inc.
Chicopee, MA 01020
Phone
(413) 534-2622
Fax
(413) 534-2661
NPI assigned
Jul 24, 2006
Last updated
Oct 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 75064 MA Primary

Addresses

Primary practice location

260 New Ludlow Road
Western Mass Physician Associates, Inc.
Chicopee, MA 01020

Mailing address

262 New Ludlow Road
Chicopee Medical Center
Chicopee, MA 01020
Phone (413) 552-3250

Other identifiers 1

IdentifierTypeStateIssuer
110092205AMedicaidMA

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
I20050425000032 MA Practitioner - Internal Medicine 8224076823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Main St
Greenfield, MA 01301-3275
Phone 4133258500109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.46 of 100Reported as group
Quality
61.91
Promoting interoperability
81
Improvement activities
40
Cost
65.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Franklin County Incorporated CurrentSince Mar 27, 2024 Accepting new patients
Community Health Center of Franklin County Incorporated Internal Medicine CurrentSince Mar 27, 2024 Accepting new patients
Paradigm Healthcare, PC Internal Medicine CurrentSince Feb 11, 2020 Accepting new patients
Bodkhe & Dickey Associates, LLC Past Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients

Locations

102 Main St
Greenfield, MA 01301
Phone (413) 325-8500

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

38 Mulberry St
Ste 204
Leeds, MA 01053
Phone (413) 727-3882

338 Montague City Rd
Turners Falls, MA 01376
Phone 4137723748 ext. 111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11991/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jdickey46842@direct.ctc.masshiway.net
  • Direct secure messaging: jefferson.dickey.1@11991.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1689696924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 NEW LUDLOW ROAD",
            "address_2": "CHICOPEE MEDICAL CENTER",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "413-552-3250",
            "fax_number": "413-552-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NEW LUDLOW ROAD",
            "address_2": "WESTERN MASS PHYSICIAN ASSOCIATES, INC.",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "413-534-2622",
            "fax_number": "413-534-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "JEFFERSON",
        "middle_name": "HALEY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "75064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092205A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.