Individual provider Active NPI

J Jeffery Semaan, MD

  • Internal Medicine Physician
  • Peabody, MA
National Provider Identifier
1932197282
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75365 Issued in MA
Practice address
27 Centennial Dr
Internal Medicine Physicians of the North Shore
Peabody, MA 01960-7901
Phone
(978) 531-7677
Fax
(978) 531-7690
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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 75365 MA Primary

Addresses

Primary practice location

27 Centennial Dr
Internal Medicine Physicians of the North Shore
Peabody, MA 01960-7901

Mailing address

27 Centennial Dr
Internal Medicine Physicians of the North Shore
Peabody, MA 01960-7901
Phone (978) 531-7677

Other identifiers 1

IdentifierTypeStateIssuer
3097773MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040519001077 MA Practitioner - Internal Medicine 0042201071 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Physicians of the North Shore LLC Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
Hallmark Health Medical Associates Inc Internal Medicine Past Accepting new patients

Locations

27 Centennial Dr
Peabody, MA 01960
Phone (978) 531-7677

Organizations & group practices 2

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1932197282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CENTENNIAL DR",
            "address_2": "INTERNAL MEDICINE PHYSICIANS OF THE NORTH SHORE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-531-7677",
            "fax_number": "978-531-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CENTENNIAL DR",
            "address_2": "INTERNAL MEDICINE PHYSICIANS OF THE NORTH SHORE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-531-7677",
            "fax_number": "978-531-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMAAN",
        "first_name": "J",
        "middle_name": "JEFFERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "75365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097773",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.