Cynthia Jeremiah
Individual provider Active NPI Family Medicine Physician · Barre, MA
NPI 1972649549 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1972649549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 239798 (MA)
- Practice address
- 151 Worcester Rd
Barre Health Center
Barre, MA 01005-9002 - Phone
- (978) 355-6321
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Elara Caring
- Umass Memorial Medical Center/University Campus
- Umass Memorial Health - Harrington Hospital
- Umass Memorial Healthalliance Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091012000222 | MA | Practitioner - Family Practice | 8820134547 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239798 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients |
Locations
151 Worcester Rd
Barre, MA 01005
Phone (978) 355-6321
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- cjeremiah22956@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 239798 | MA | Yes |
Addresses
Primary practice location
151 Worcester Rd
Barre Health Center
Barre, MA 01005-9002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjeremiah22956@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
NPI Registry JSON
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1972649549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 WORCESTER RD",
"address_2": "BARRE HEALTH CENTER",
"city": "BARRE",
"state": "MA",
"postal_code": "010059002",
"telephone_number": "978-355-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEREMIAH",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "239798",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjeremiah22956@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "151 Worcester Rd",
"address_2": "Barre Health Center",
"city": "Barre",
"state": "MA",
"country_code": "US",
"postal_code": "010059002",
"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": "151 Worcester Rd",
"address_2": "Barre Health Center",
"city": "Barre",
"state": "MA",
"country_code": "US",
"postal_code": "010059002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Barre, MA
- Geoffrey Jiefu Huang
- Megan Hunt
- Lakshmi Ilango
- Jad Jalal
- Madison Riley Jebb
- Jillian K Joseph
- Andrea Domenica Julian
- Daniel Paul Jurczyk
- Melissa Kaplan
- Kelly Bado, O.D.
All providers in Barre, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.