Active NPI
Eric Lloyd Knutson, MD
- Internal Medicine Physician
- Fitchburg, MA
National Provider Identifier
1932190691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 47339
- Practice address
- 370 Lunenburg St
Fitchburg, MA 01420-4541 - Phone
- (978) 342-6018
- Fax
- (978) 343-4281
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- 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 | 47339 | MA | Primary |
| Infectious Disease Physician | 207RI0200X | 47339 | MA |
Addresses
Primary practice location
370 Lunenburg St
Fitchburg, MA 01420-4541
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4019988 | Other | MA | AETNA USHEALTHCARE |
| 700425 | Other | MA | TUFTS |
| 2099284 | Medicaid | MA | |
| 4448 | Other | MA | FALLON |
| 690832 | Other | MA | HARVARD PILGRIM |
| E16127 | Other | MA | BLUECROSS |
| 1001287 | Other | MA | CIGNA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eknutson23026@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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitchburg Adult Medicine LLC | Past | Accepting new patients |
Interoperability endpoints
- eknutson23026@umassmemorial.direct-ci.com
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Fitchburg, MA
- NPI 1073647855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1932190691",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 LUNENBURG ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014204541",
"telephone_number": "978-342-6018",
"fax_number": "978-343-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "ERIC",
"middle_name": "LLOYD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "47339",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "47339",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHEALTHCARE",
"identifier": "4019988",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "700425",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2099284",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "4448",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "690832",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "E16127",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1001287",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eknutson23026@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "76 Summer St",
"address_2": "Suite 230",
"city": "Fitchburg",
"state": "MA",
"country_code": "US",
"postal_code": "014205783",
"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": "76 Summer St",
"address_2": "Suite 230",
"city": "Fitchburg",
"state": "MA",
"country_code": "US",
"postal_code": "014205783",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.