Active NPI
Elliot J Feinberg, M.D.
- Gastroenterology Physician
- Leominster, MA
National Provider Identifier
1962442491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 74135
- Practice address
- 105 Erdman Way
Leominster, MA 01453 - Phone
- (978) 537-7552
- Fax
- (978) 537-7383
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 74135 | MA | Primary |
Addresses
Primary practice location
105 Erdman Way
Leominster, MA 01453
Mailing address
PO Box 3160
Andover, MA 01810-0803
Phone (978) 474-8885
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074135 | Other | MA | TUFTS HEALTH PLAN |
| 30247 | Other | MA | HARVARD PILGRIM HEALTH |
| 3076717 | Medicaid | MA | |
| J11036 | Other | MA | BLUE CROSS & BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74135 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Digestive Wellness PC | Gastroenterology | Current | Accepting new patients |
| Center for Digestive Wellness PC | Gastroenterology | Current | Accepting new patients |
| Central Massachusetts Ambulatory Endoscopy Center LLC | Current | Accepting new patients | |
| Community Anesthesia LLC | Past | Accepting new patients |
Locations
105 Erdman Way
Leominster, MA 01453
Phone (978) 466-7800
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Leominster, MA
- NPI 1346679867
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- Ambulatory Surgical Clinic/Center
- Leominster, MA
- NPI 1073682159
-
- Gastroenterology Physician
- Leominster, MA
- NPI 1730695172
-
- Anesthesiology Physician
- Brockton, MA
- NPI 1114257136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1962442491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3160",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018100803",
"telephone_number": "978-474-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ERDMAN WAY",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "978-537-7552",
"fax_number": "978-537-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINBERG",
"first_name": "ELLIOT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "74135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "074135",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "30247",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3076717",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "J11036",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.