Active NPI
Jean M Casello, MD
- Internal Medicine Physician
- Shrewsbury, MA
National Provider Identifier
1821010778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 78863
- Practice address
- 512 Main St
2 ND Floor
Shrewsbury, MA 01545-6405 - Phone
- (508) 842-6898
- Fax
- (508) 842-6898
- NPI assigned
- Jul 23, 2006
- Last updated
- Dec 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 78863 | MA | Primary |
Addresses
Primary practice location
512 Main St
2 ND Floor
Shrewsbury, MA 01545-6405
Mailing address
512 Main St
2 ND Floor
Shrewsbury, MA 01545-6405
Phone (508) 842-6898
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 3120686 | Other | WELFARE | |
| 0404144 | Other | EVERCARE | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 124600 | Other | CIGNA HEALTH PLAN | |
| J14532 | Other | BLUE SHIELD INDEMNITY | |
| 043058466002 | Other | TRICARE | |
| 784235 | Other | MVP HEALTH CARE | |
| 15450 | Other | FALLON COMM HEALTH PLAN | |
| J14532 | Other | BLUE CARE ELECT | |
| 1162675 | Other | FIRST HEALTH | |
| J14532 | Other | BLUE SHIELD HMO BLUE | |
| J14532 | Other | MEDICARE B | |
| 3120686 | Medicaid | MA | |
| 042472266 | Other | THREE RIVERS | |
| 4485083 | Other | AETNA | |
| 4485083 | Other | US HEALTHCARE | |
| AA1260 | Other | HARVARD PILGRIM HEALTHCAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78863 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wachusett Emergency Physicians, PC | Past | Accepting new patients | |
| Reliant Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Leominster, MA
- NPI 1376553693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1821010778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 MAIN ST",
"address_2": "2 ND FLOOR",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015456405",
"telephone_number": "508-842-6898",
"fax_number": "508-842-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 MAIN ST",
"address_2": "2 ND FLOOR",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015456405",
"telephone_number": "508-842-6898",
"fax_number": "508-842-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASELLO",
"first_name": "JEAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "78863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELFARE",
"identifier": "3120686",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0404144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "124600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "J14532",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "043058466002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784235",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM HEALTH PLAN",
"identifier": "15450",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J14532",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1162675",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "J14532",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "J14532",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3120686",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4485083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "4485083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA1260",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
- Abigail Carlson, M. ED
- Karen Place Carlson, PHD
- Carolyn J. Smith,PH.D. (Eastern Shore Associates)
- Catherine Carroca, DHS, MSN, RN, FNP-BC
- Bradford William Carroll Sr., PH.D.
- Kristina Catacchio, M.S., CCC-SLP
- Linda M Cavallero, PH.D.
- Centers for Aging and Memory
- Central Mass Clinical Associates (CMCA Choices)
- Central Mass Clinical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.