NPIMap

Individual provider Active NPI

Caroline Breckwoldt Foote, M.D.

  • Cardiovascular Disease Physician
  • Winchester, MA
National Provider Identifier
1730207325
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
72100 Issued in MA
Practice address
1021 Main Street
Winchester, MA 01890
Phone
(781) 729-1021
Fax
(781) 729-7504
NPI assigned
Mar 26, 2007
Last updated
Aug 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 72100 MA
Cardiovascular Disease Physician 207RC0000X 72100 MA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 72100 MA

Addresses

Primary practice location

1021 Main Street
Winchester, MA 01890

Mailing address

PO Box 760
Winchester, MA 01890-4260
Phone (781) 756-7273

Other identifiers 1

IdentifierTypeStateIssuer
3049680OtherMAMASS HEALTH

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
I20110209000372 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7719167659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72100MAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Winchester Physician Associates, Inc Internal Medicine CurrentSince Oct 6, 2014 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Dec 1, 2024 Accepting new patients
Winchester Physician Associates Internal Medicine Past Accepting new patients
Stoneham Medical Group LLC Internal Medicine Past Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Internal Medicine Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

203 Main St
North Reading, MA 01864
Phone (978) 664-1990

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

23 Warren Ave
Ste 100
Woburn, MA 01801
Phone (781) 933-1198

Interoperability endpoints

  • Direct secure messaging: cfoote33709@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/

Organizations & group practices 6

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 6

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1730207325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904260",
            "telephone_number": "781-756-7273",
            "fax_number": "781-721-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MAIN STREET",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-729-1021",
            "fax_number": "781-729-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "CAROLINE",
        "middle_name": "BRECKWOLDT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "72100",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "72100",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "72100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "3049680",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.