NPIMap

Organization Active NPI

Middlesex Gastroenterolgy,P.C.

  • Specialist
  • Acton, MA
National Provider Identifier
1992845911
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIDDLESEX GASTROENTEROLGY,P.C.
Practice address
45 Discovery Way # B
Acton, MA 01720-4482
Phone
(978) 429-2010
Fax
(978) 264-1935
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Leeann C Iannarelli
Title
Office Manager
Phone
(978) 429-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA Primary

Addresses

Primary practice location

45 Discovery Way # B
Acton, MA 01720-4482

Mailing address

45B Discovery Way
Acton, MA 01720
Phone (978) 429-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000379 MA Part B Supplier - Clinic/Group Practice 6800819566 Receives reassigned benefits from 21 practitioners
Practice locations: Acton, MA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

45 Discovery Way
#B
Acton, MA 01720
Phone (978) 429-2010

45B Discovery Way
Acton, MA 01720
Phone (508) 772-3547

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992845911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45B DISCOVERY WAY",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "01720",
            "telephone_number": "978-429-2010",
            "fax_number": "978-264-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DISCOVERY WAY # B",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204482",
            "telephone_number": "978-429-2010",
            "fax_number": "978-264-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX GASTROENTEROLGY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IANNARELLI",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-429-2010"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.