Active NPI
Lei Jiang, M.D.
- Internal Medicine Physician
- Worcester, MA
National Provider Identifier
1760439277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 240535
- Practice address
- 403 Belmont St
Worcester, MA 01604-1019 - Phone
- (508) 425-2500
- Fax
- (508) 425-2600
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12879 | NH | |
| Internal Medicine Physician | 207R00000X | 240535 | MA | Primary |
Addresses
Primary practice location
403 Belmont St
Worcester, MA 01604-1019
Mailing address
403 Belmont St
Worcester, MA 01604-1019
Phone (508) 425-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205571 | Medicaid | NH | |
| 1760439277 | Medicaid | MA | |
| RE4060 | Other | NH | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200330001225 | MA | Order and Referring Only - Internal Medicine | 2365469442 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240535 | MA | MD | Internal Medicine Physician |
| 12879 | NH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1760439277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041019",
"telephone_number": "508-425-2500",
"fax_number": "508-425-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041019",
"telephone_number": "508-425-2500",
"fax_number": "508-425-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIANG",
"first_name": "LEI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "12879",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "240535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205571",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760439277",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "RE4060",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.