NPIMap

Individual provider Active NPI

Jonathan Slater, M.D.

  • Nephrology Physician
  • Springfield, MA
National Provider Identifier
1992788160
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
81014 Issued in MA
Practice address
100 Wason Ave
Suite 200
Springfield, MA 01107-1381
Phone
(413) 733-9666
Fax
(413) 750-3432
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 81014 MA Primary
Nephrology Physician 207RN0300X 032013 CT

Addresses

Primary practice location

100 Wason Ave
Suite 200
Springfield, MA 01107-1381

Mailing address

PO Box 70266
Springfield, MA 01107-0266
Phone (413) 733-9666

Other identifiers 3

IdentifierTypeStateIssuer
64747OtherMAFALLON
3137651MedicaidMA
10252OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050104000315 MA Practitioner - Nephrology 7315855079 Reassigns benefits to 2 organizations
I20110325000332 CT Practitioner - Nephrology 7315855079

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Connecticut School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal and Transplant Associates of the Northeast PCGroup PAC ID 2860836327, 7 clinicians

Practice addresses (Care Compare)

3550 Main St
Suite 204
Springfield, MA 01107-1078
Phone 4138672500101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81014MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal & Transplant Assoc of the Northeast PC Nephrology CurrentSince Aug 28, 2023 Accepting new patients
Western New England Renal and Transplant Associates, P.C. Nephrology CurrentSince Jan 2, 2015 Accepting new patients
Ara-Springfield Dialysis LLC PastSince Feb 22, 2024 Accepting new patients

Locations

701 Enfield St
Ste 160
Enfield, CT 06082
Phone (860) 749-5975

113 Elm St
Enfield, CT 06082
Phone (860) 253-5196

95 Sargent St
Belchertown, MA 01007
Phone (413) 323-7212

10 Hospital Dr
Ste 309
Holyoke, MA 01040
Phone (413) 535-3155

3550 Main St
Ste 204
Springfield, MA 01107
Phone (413) 733-2204

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

426 Winchester St
#B
Keene, NH 03431
Phone (603) 355-9998

Interoperability endpoints

  • Direct secure messaging: jslater20093@direct.acumenmd.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 12

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1992788160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70266",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011070266",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "81014",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "032013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "64747",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3137651",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "10252",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.