Active NPI
Jonathon S Sillman, M.D.
- Otolaryngology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 79282
- Practice address
- 48 Elm St
Worcester, MA 01609-2541 - Phone
- (508) 757-0330
- NPI assigned
- May 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 79282 | MA | Primary |
Addresses
Primary practice location
48 Elm St
Worcester, MA 01609-2541
Mailing address
48 Elm St
Worcester, MA 01609-2541
Phone (508) 757-0330
Other practice location 1
299 Faunce Corner Rd
North Dartmouth, MA 02747-6244
Phone (508) 995-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010252 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsillman47361@direct.southcoast.org |
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 Compare- Specialty
- Otolaryngology
- Education
- Harvard Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 MLK Jr Blvd
Suite 4
Worcester, MA 01608-1209
Phone (508) 757-0330
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-8137
Hospital & facility affiliations
- Tufts Medical Center
- St Vincent Hospital
- Melrosewakefield Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79282 | MA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Pratt Otolaryngology- Head & Neck Surgery Associates Inc | Otolaryngology | Current | Accepting new patients |
| Associates in Otolaryngology Head and Neck Surgery PC | Otolaryngology | Current | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1
Boston, MA 02111
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
299 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 995-0700
100 Mlk Jr Blvd
Ste 4
Worcester, MA 01608
Phone (508) 757-0330
48 Elm St
Worcester, MA 01609
Phone (508) 757-0330
100 Mlk Jr Blvd
Worcester, MA 01608
Phone (508) 754-3823
Interoperability endpoints
- jsillman29491@tuftsmedicine.direct-ci.com
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.
-
- Otolaryngology Physician
- Worcester, MA
- NPI 1225152663
-
- Otolaryngology Physician
- Boston, MA
- NPI 1669411229
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1972550101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 ELM ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092541",
"telephone_number": "508-757-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ELM ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092541",
"telephone_number": "508-757-0330"
}
],
"practiceLocations": [
{
"address_1": "299 Faunce Corner Rd",
"address_purpose": "LOCATION",
"city": "North Dartmouth",
"state": "MA",
"postal_code": "027476244",
"country_code": "US",
"telephone_number": "508-995-0700",
"fax_number": "508-973-1355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILLMAN",
"first_name": "JONATHON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "79282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010252",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsillman47361@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "299 Faunce Corner Rd",
"city": "North Dartmouth",
"state": "MA",
"country_code": "US",
"postal_code": "027476244",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.