Active NPI
Armenia Mordan Vasquez, MD
- Internal Medicine Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 277945
- Practice address
- 291 Lincoln St
Worcester, MA 01605-3643 - Phone
- (508) 799-2922
- Fax
- (508) 755-4075
- NPI assigned
- Jul 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57326 | CT | |
| Internal Medicine Physician | 207R00000X | 277945 | MA | Primary |
Addresses
Primary practice location
291 Lincoln St
Worcester, MA 01605-3643
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
3001 Edwin Ave Apt 1J
Fort Lee, NJ 07024-3427
Phone (201) 755-6618
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amordan275325@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 State Route 37
New Fairfield, CT 06812-4013
Phone (203) 746-6000
Hospital & facility affiliations
- Western Connecticut Home Care Inc
- Danbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Internal Medicine | Current | Accepting new patients |
| Prospect CT Medical Foundation, Inc. | Internal Medicine | Current | Accepting new patients |
| Southbury Medical Associates, LLP | Internal Medicine | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
1625 Straits Tpke
Ste 211
Middlebury, CT 06762
Phone (203) 573-9512
130 State Route 37
New Fairfield, CT 06812
Phone (203) 746-6000
160 Robbins St
Waterbury, CT 06708
Phone (203) 573-7284
Interoperability endpoints
- amordan275325@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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
Internal Medicine
-
- Internal Medicine Physician
- Southbury, CT
- NPI 1407984222
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- Home Health Agency
- Danbury, CT
- NPI 1083677132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1891179735",
"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",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053643",
"telephone_number": "508-799-2922",
"fax_number": "508-755-4075"
}
],
"practiceLocations": [
{
"address_1": "3001 Edwin Ave Apt 1J",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070243427",
"country_code": "US",
"telephone_number": "201-755-6618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORDAN VASQUEZ",
"first_name": "ARMENIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "57326",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "277945",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amordan275325@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "291 Lincoln St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016053643",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "291 Lincoln St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016053643",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 24, 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.