Active NPI
Nitin Trivedi, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 218959
- Practice address
- 123 Summer Street
535
Worcester, MA 01608 - Phone
- (508) 363-5189
- NPI assigned
- Mar 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 218959 | MA | Primary |
Addresses
Primary practice location
123 Summer Street
535
Worcester, MA 01608
Mailing address
250 Hampton St
Auburn, MA 01501-2584
Phone (508) 753-2060
Other practice location 1
250 Hampton St
Auburn, MA 01501-2584
Phone (508) 753-2060
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81124 | Other | FALLON | |
| 4570621 | Other | CIGNA | |
| 96610302 | Other | NETWORK HEALTH | |
| 467662 | Other | TUFTS | |
| 110041421A | Medicaid | MA | |
| AA48173 | Other | HARVARD PILGRIM | |
| J29562 | Other | BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Suite 535
Worcester, MA 01608-1216
Phone (508) 363-5630
5 Laurel Ridge LN
Shrewsbury, MA 01545-6322
Phone (508) 635-1386
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218959 | MA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mass Medical Group | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
43 Maple Ave
Unit 291
Shrewsbury, MA 01545
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
123 Summer St
Ste 535
Worcester, MA 01608
Phone (508) 363-5189
123 Summer St
#535
Worcester, MA 01608
Phone (508) 363-5189
Interoperability endpoints
- nitin.trivedi.1@626.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Worcester, MA
- NPI 1164314290
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1770543977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 HAMPTON ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "015012584",
"telephone_number": "508-753-2060",
"fax_number": "508-752-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER STREET",
"address_2": "535",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-363-5189"
}
],
"practiceLocations": [
{
"address_1": "250 Hampton St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "MA",
"postal_code": "015012584",
"country_code": "US",
"telephone_number": "508-753-2060",
"fax_number": "508-752-4244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIVEDI",
"first_name": "NITIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "218959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "81124",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4570621",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "96610302",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "467662",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110041421A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA48173",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J29562",
"state": null
}
],
"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 Mar 17, 2018; 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.