NPIMap

Individual provider Active NPI

Christine O Macginnis, D.O.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1952382772
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202595 Issued in MA
Practice address
291 Lincoln St
Suite 203
Worcester, MA 01605-3643
Phone
(508) 791-8524
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 202595 MA Primary

Addresses

Primary practice location

291 Lincoln St
Suite 203
Worcester, MA 01605-3643

Mailing address

PO Box 41538
Boston, MA 02241-5348

Other identifiers 1

IdentifierTypeStateIssuer
3207811MedicaidMA

Other names 1

  • Dr. Christine O'Brien Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cmacginnis23184@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 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
I20080401000481 MA Practitioner - Internal Medicine 2365529369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

291 Lincoln St
Suite 202
Worcester, MA 01605-3643
Phone (508) 752-7464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202595MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Jul 1, 2000 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 1, 2000 Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients

Locations

291 Lincoln St
Worcester, MA 01605
Phone (508) 334-6251

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

291 Lincoln St
Ste 203
Worcester, MA 01605
Phone (508) 791-8524

291 Lincoln St
Ste 202
Worcester, MA 01605
Phone (508) 752-7464

Interoperability endpoints

  • Direct secure messaging: cmacginnis23184@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 8

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1952382772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41538",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LINCOLN ST",
            "address_2": "SUITE 203",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053643",
            "telephone_number": "508-791-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGINNIS",
        "first_name": "CHRISTINE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "202595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207811",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmacginnis23184@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "291 Lincoln St",
            "address_2": "Suite 203",
            "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",
            "address_2": "Suite 203",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "O'BRIEN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.