Individual provider Active NPI

Elliot J Feinberg, M.D.

  • Gastroenterology Physician
  • Leominster, MA
National Provider Identifier
1962442491
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
74135 Issued in MA
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

Updated by the provider on Aug 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
074135OtherMATUFTS HEALTH PLAN
30247OtherMAHARVARD PILGRIM HEALTH
3076717MedicaidMA
J11036OtherMABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708001150 MA Practitioner - Gastroenterology 1456339233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
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

LicenseStateTypeSpecialty
74135MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Digestive Wellness PC Gastroenterology Current Accepting new patients
Center for Digestive Wellness PC Gastroenterology CurrentSince May 31, 2014 Accepting new patients
Central Massachusetts Ambulatory Endoscopy Center LLC CurrentSince Jul 1, 2010 Accepting new patients
Community Anesthesia LLC PastSince Jun 1, 2013 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.

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

Verify at the official NPI Registry.