Individual provider Active NPI

Jonathon S Sillman, M.D.

  • Otolaryngology Physician
  • Worcester, MA
National Provider Identifier
1972550101
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
79282 Issued in MA
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

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0010252MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000566 MA Practitioner - Otolaryngology 0345213286 Reassigns benefits to 3 organizations

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
Associates in Otolaryngology Head and Neck Surgery, PCGroup PAC ID 6507839438, 9 clinicians

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 Hospital, Boston, MA, CCN 220116
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79282MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Aug 16, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Aug 16, 2019 Accepting new patients
Pratt Otolaryngology- Head & Neck Surgery Associates Inc Otolaryngology CurrentSince Jul 1, 2012 Accepting new patients
Associates in Otolaryngology Head and Neck Surgery PC Otolaryngology CurrentSince Feb 9, 1991 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.