Individual provider Active NPI

Piamarie Ballarin-Feldman, M.D.

  • Family Medicine Physician
  • Fitchburg, MA
National Provider Identifier
1821058025
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57589 Issued in MA
Practice address
47 Ashby State Road
TMG Primary Care Suite 102
Fitchburg, MA 01420
Phone
(978) 345-0303
Fax
(978) 345-3529
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57589 MA Primary

Addresses

Primary practice location

47 Ashby State Road
TMG Primary Care Suite 102
Fitchburg, MA 01420

Mailing address

48 Nelson Street
TMG Primary Care
Leominster, MA 01453
Phone (978) 728-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180925003309 RI Practitioner - Family Practice 6709833866 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Oct 15, 2018 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 15, 2018 Accepting new patients
Community Neuroscience Services, LLC PastSince May 25, 2021 Accepting new patients
Piamarie Ballarin-Feldman M.D., P.C. Family Medicine PastSince Nov 6, 1991 Accepting new patients

Locations

20 Southwest Ave
Jamestown, RI 02835
Phone (401) 423-2616

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCCDA

Organizations & group practices 4

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.

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": "1462406400000",
    "number": "1821058025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NELSON STREET",
            "address_2": "TMG PRIMARY CARE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-728-4455",
            "fax_number": "978-751-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ASHBY STATE ROAD",
            "address_2": "TMG PRIMARY CARE SUITE 102",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-345-0303",
            "fax_number": "978-345-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARIN-FELDMAN",
        "first_name": "PIAMARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "57589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.