Stephen T. Child, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

73561 Issued in MA

Practice address

50 Memorial Dr
Suite 210
Leominster, MA 01453-2238

Phone

(978) 514-8704

Fax

(978) 514-8705

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Preventive Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Alliance Home Health and Hospice Home health agency, Leominster, MA, CCN 227009
• Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
• Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
• Athol Memorial Hospital Hospital, Athol, MA, CCN 221303

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schild127859@umassmemorial.direct-ci.com

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.

• Leominster Primary Care LLC

  • Internal Medicine Physician
  • Leominster, MA
  • NPI 1952069874

  Internal Medicine, MA

  Medicare reassignment NPD

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

• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047

  Hospital

  Care Compare affiliation
• Care Central Vna & Hospice Inc

  • Home Health Agency
  • Gardner, MA
  • NPI 1477526705
  Care Compare affiliation
• Umass Memorial Health Care, Inc.

  • Home Health Agency
  • Leominster, MA
  • NPI 1366420663
  Care Compare affiliation
• Umass Memorial Healthalliance Clinton Hospital Inc

  • General Acute Care Hospital
  • Leominster, MA
  • NPI 1013995133

  Hospital

  Care Compare affiliation
• Umass Memorial Healthalliance Clinton Hospital Inc

  • Psychiatric Hospital Unit
  • Clinton, MA
  • NPI 1285171934

  Hospital

  Care Compare affiliation
• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1790747442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WHITNEY RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511403",
            "telephone_number": "978-456-9030",
            "fax_number": "978-514-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR",
            "address_2": "SUITE 210",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-514-8704",
            "fax_number": "978-514-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "STEPHEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "50 Memorial Dr",
            "address_2": "Suite 210",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014532238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schild127859@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "50 Memorial Dr",
            "address_2": "Suite 210",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014532238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jung-Ming Chen, M.D.
• Cheong H. Kim, MD, Inc.
• Danane L Chhor, FNP-BC
• Timothy CHI, DPT
• Stephanie Merrill Child, CNM
• Childrens Aid & Family Service, Inc.
• Chiropractic Wellness Center Inc
• Jayoon Choi, D.M.D.
• Michelle Lee Chouinard, LCSW
• Christcare Adult Day Center LLC

• All providers in Leominster, MA
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.

Verify at the official NPI Registry.