NPIMap

Individual provider Active NPI

Parmender S Bagga, MD

  • Internal Medicine Physician
  • Westborough, MA
National Provider Identifier
1861478059
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212258 Issued in MA
Practice address
154 East Main Street
Westborough, MA 01581
Phone
(508) 366-1120
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212258 MA Primary

Addresses

Primary practice location

154 East Main Street
Westborough, MA 01581

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other identifiers 2

IdentifierTypeStateIssuer
0154423MedicaidMA
J24200OtherBLUE SHIELD INDEMNITY

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address pbagga22150@UmassMemorial.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000145 MA Practitioner - Internal Medicine 6305841214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group Inc 2,494 clinicians

Practice addresses (Care Compare)

154 E Main St
Suite 101
Westborough, MA 01581-1764
Phone (508) 366-1120

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Vna and Hospice of Greater Milford Home health agency, Milford, MA, CCN 227063
  • Preferred Transitions Home Health Care Inc Home health agency, Milford, MA, CCN 227666
  • Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212258MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2001 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients
Reliant Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

154 E Main St
Westborough, MA 01581
Phone (508) 366-7899

154 E Main St
Ste 101
Westborough, MA 01581
Phone (508) 366-1120

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: pbagga22150@umassmemorial.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1861478059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 EAST MAIN STREET",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-366-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGA",
        "first_name": "PARMENDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "212258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154423",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDEMNITY",
            "identifier": "J24200",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "154 East Main Street",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbagga22150@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "154 East Main Street",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.