Umass Memorial Medical Center, Inc. - Medicare Mental Health Clinic in Worcester, MA

Umass Memorial Medical Center, Inc. is a medicare enrolled mental health clinic (Psychiatric Unit) in Worcester, Massachusetts. The current practice location for Umass Memorial Medical Center, Inc. is 55 Lake Ave N, Worcester, Massachusetts. For appointments, you can reach them via phone at (508) 334-0254. The mailing address for Umass Memorial Medical Center, Inc. is Po Box 415353, Boston, Massachusetts and phone number is (508) 334-1540.

Umass Memorial Medical Center, Inc. is licensed to practice in Massachusetts (license number ). The clinic also participates in the medicare program and its NPI number is 1689760092. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (508) 334-0254.

Contact Information

Umass Memorial Medical Center, Inc.
55 Lake Ave N
Worcester
MA 01655-0002
(508) 334-0254
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameUmass Memorial Medical Center, Inc.
SpecialityPsychiatric Unit
Location55 Lake Ave N, Worcester, Massachusetts
Authorized Official Name and PositionSergio Melgar (EVP/CFO)
Authorized Official Contact5083340530
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Umass Memorial Medical Center, Inc.
Po Box 415353
Boston
MA 02241-5353

Ph: (508) 334-1540
Umass Memorial Medical Center, Inc.
55 Lake Ave N
Worcester
MA 01655-0002

Ph: (508) 334-0254

NPI Details:

NPI Number1689760092
Provider Enumeration Date10/04/2006
Last Update Date12/21/2020
Certification Date12/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6204745904
Medicare Enrollment IDO20031126000444

Medical Identifiers

Medical identifiers for Umass Memorial Medical Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689760092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
273R00000XPsychiatric Unit (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Umass Memorial Medical Center, Inc. acts as a billing entity for following providers:
Provider NameDonna M. Reed
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912946195
PECOS PAC ID: 5092707984
Enrollment ID: I20040331001343
Provider NameCathi A Bartolini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609895598
PECOS PAC ID: 4183689037
Enrollment ID: I20041119000988
Provider NameDeborah J Esposito
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1205964848
PECOS PAC ID: 5193769800
Enrollment ID: I20050614000640
Provider NameCindy C Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992779227
PECOS PAC ID: 7618911793
Enrollment ID: I20050620000640
Provider NameMichelle L Rightmyer
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1649472994
PECOS PAC ID: 1254376411
Enrollment ID: I20050628000478
Provider NameBarbara C Olendzki
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1548338015
PECOS PAC ID: 1951346139
Enrollment ID: I20050628000623
Provider NameRoseann J Lavin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841264652
PECOS PAC ID: 5092751065
Enrollment ID: I20050629000981
Provider NameMary R Innis
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1053366963
PECOS PAC ID: 4183652258
Enrollment ID: I20050729000750
Provider NameVictoria A Andersen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1447317672
PECOS PAC ID: 9830127760
Enrollment ID: I20050801000912
Provider NameNathan S Keedy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841245693
PECOS PAC ID: 9537193230
Enrollment ID: I20050922000228
Provider NameJody M Fleshman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1558557611
PECOS PAC ID: 0941235972
Enrollment ID: I20050928001202
Provider NameRuth Whitall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598703332
PECOS PAC ID: 4880610401
Enrollment ID: I20051021000609
Provider NameLeslie S Murphy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780623017
PECOS PAC ID: 8022035419
Enrollment ID: I20051025000716
Provider NameJennifer E Hall
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346334323
PECOS PAC ID: 3072534353
Enrollment ID: I20051214000596
Provider NameNia M Jones
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1831113349
PECOS PAC ID: 4385647486
Enrollment ID: I20060810000052
Provider NamePatricia A Macculloch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194822650
PECOS PAC ID: 2163422148
Enrollment ID: I20061226000094
Provider NameTina R Coderre
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1245391671
PECOS PAC ID: 1456457795
Enrollment ID: I20070503000443
Provider NameDawn E Bull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891941167
PECOS PAC ID: 9638239908
Enrollment ID: I20081117000174
Provider NameEydie I Kasendorf
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1982783346
PECOS PAC ID: 4789740846
Enrollment ID: I20090226000020
Provider NameNicole Seymour
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1689700841
PECOS PAC ID: 2062560261
Enrollment ID: I20090428000071
Provider NameIdalmis E Murray
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1326203464
PECOS PAC ID: 1557405198
Enrollment ID: I20100219000292
Provider NameInmay P Macneil
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1073836565
PECOS PAC ID: 7113051707
Enrollment ID: I20100818000546
Provider NameJillian M Armentrout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750699310
PECOS PAC ID: 0547444739
Enrollment ID: I20110413000260
Provider NameSureyya Iscan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356408835
PECOS PAC ID: 6800062357
Enrollment ID: I20120104000483
Provider NameAllison E Mcniff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134409030
PECOS PAC ID: 5294902755
Enrollment ID: I20120124000554
Provider NameRobert J Carey
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083652952
PECOS PAC ID: 8426216144
Enrollment ID: I20120225000131
Provider NameKaren L Wentworth
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437104312
PECOS PAC ID: 0547428286
Enrollment ID: I20120227000174
Provider NameElizabeth Atlee Menefee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326393646
PECOS PAC ID: 0446404479
Enrollment ID: I20130129000190
Provider NameJennifer A O'leary Tait
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1982845061
PECOS PAC ID: 1355510140
Enrollment ID: I20130304000186
Provider NameAneta Braam
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1578967063
PECOS PAC ID: 4183947906
Enrollment ID: I20150102000685
Provider NameAnna Mooradian
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1174923247
PECOS PAC ID: 2567788276
Enrollment ID: I20150224000129
Provider NameJonathan R Carroll
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1831586064
PECOS PAC ID: 5193007417
Enrollment ID: I20170123000816
Provider NameCaroline T Gaffney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548642929
PECOS PAC ID: 8022390293
Enrollment ID: I20170124000212
Provider NameMallory L Gibbons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083150361
PECOS PAC ID: 9032494521
Enrollment ID: I20170324000139
Provider NameJustine Nash
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1790203271
PECOS PAC ID: 0345515367
Enrollment ID: I20171002000893
Provider NameKatherine Dempsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881140242
PECOS PAC ID: 7012296049
Enrollment ID: I20171228002356
Provider NameBarbara J Laforce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164706552
PECOS PAC ID: 5698077725
Enrollment ID: I20180404001170
Provider NameVanessa K Laffert
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1639378755
PECOS PAC ID: 4486991684
Enrollment ID: I20190125001857
Provider NameSusan Anne Tripp
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1043874886
PECOS PAC ID: 9931432259
Enrollment ID: I20190531000589
Provider NameSara Graves
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1992837389
PECOS PAC ID: 6305172750
Enrollment ID: I20190724000244
Provider NameMackenzie Souza
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1013579671
PECOS PAC ID: 7618203878
Enrollment ID: I20190725000760
Provider NameKylie E Grenier
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1124680723
PECOS PAC ID: 7911233184
Enrollment ID: I20190725001074
Provider NameLinda Denering
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1629639331
PECOS PAC ID: 3577899772
Enrollment ID: I20190725002268
Provider NameKelsey E Lancey
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1710549027
PECOS PAC ID: 5395071450
Enrollment ID: I20190726001049
Provider NameLisa M Lombardini
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346809993
PECOS PAC ID: 7719213891
Enrollment ID: I20190726001802
Provider NameKatherine Lauriat Saunders
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1841856440
PECOS PAC ID: 5991031080
Enrollment ID: I20190726002284
Provider NamePaul J Foster
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1164084612
PECOS PAC ID: 0547596678
Enrollment ID: I20190729000625
Provider NameAnna R Grotevant
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1669893996
PECOS PAC ID: 5597092080
Enrollment ID: I20190806003508
Provider NameJessica A Hews
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1902468572
PECOS PAC ID: 4486981537
Enrollment ID: I20190812003114
Provider NameMelanie M Maletta
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1376746420
PECOS PAC ID: 7416284492
Enrollment ID: I20190814001099
Provider NameSusan E Miller
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1508278706
PECOS PAC ID: 5294066742
Enrollment ID: I20191014003263
Provider NameSharon H Chan
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1629543467
PECOS PAC ID: 7719219690
Enrollment ID: I20191025000648
Provider NameKerrilyn M Mcgowan
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1225680283
PECOS PAC ID: 2567895212
Enrollment ID: I20191210002814
Provider NameSara Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245707348
PECOS PAC ID: 5890025456
Enrollment ID: I20200212001790
Provider NameAllison Jean Aditays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326602442
PECOS PAC ID: 5193152890
Enrollment ID: I20200218002606
Provider NameCaitlin Dow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750922613
PECOS PAC ID: 8325476047
Enrollment ID: I20200311002677
Provider NameElisabeth Jean Roche
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861046682
PECOS PAC ID: 9133559438
Enrollment ID: I20200429002213
Provider NameCaitlin M. Agreda
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1902286750
PECOS PAC ID: 3375955420
Enrollment ID: I20201214001425
Provider NameJennine Frances Dumont
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1760571616
PECOS PAC ID: 8224440300
Enrollment ID: I20201214002647
Provider NameSamantha Lee Baker
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1326518820
PECOS PAC ID: 5597177618
Enrollment ID: I20201215000896
Provider NameSara Elizabeth Chaffee
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1104482157
PECOS PAC ID: 3870905763
Enrollment ID: I20201217002406
Provider NameCaitlyn M Leavitt
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1235806910
PECOS PAC ID: 8820496201
Enrollment ID: I20211015001091
Provider NameAnna Teresa Sinni
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1780350199
PECOS PAC ID: 0345639472
Enrollment ID: I20211111001408
Provider NameKaitlin Theresa Ryan
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1073172235
PECOS PAC ID: 6406247246
Enrollment ID: I20220105000789
Provider NameWanda Yvette Pignone
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1982358891
PECOS PAC ID: 6204220734
Enrollment ID: I20220228001286
Provider NameAshley Jermaine Wight
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1003557760
PECOS PAC ID: 2264819432
Enrollment ID: I20220510001957
Provider NameStacey Feroleto
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1073251344
PECOS PAC ID: 5991183717
Enrollment ID: I20220608000159
Provider NameStephen Kheboian
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1366184723
PECOS PAC ID: 2769861509
Enrollment ID: I20220624000459
Provider NameIman Al-bader
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1801538798
PECOS PAC ID: 7113306838
Enrollment ID: I20220627000090
Provider NameShahira N Orcel
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1790327450
PECOS PAC ID: 8729310842
Enrollment ID: I20220823002193
Provider NameMarla Joy Phelps
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1245807189
PECOS PAC ID: 1456729706
Enrollment ID: I20221117003350
Provider NameClaudia Carolina Osorio
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1982329736
PECOS PAC ID: 5193194066
Enrollment ID: I20221215001997
Provider NameAlexa Pietrini
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1831809748
PECOS PAC ID: 7810368164
Enrollment ID: I20230124001029
Provider NameKatie Marie Friberg
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1477273936
PECOS PAC ID: 3173980232
Enrollment ID: I20230605001606
Provider NameCarmen Zita Porto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699375493
PECOS PAC ID: 1850752007
Enrollment ID: I20230803002666
Provider NameSamantha Piazza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245631548
PECOS PAC ID: 6305068784
Enrollment ID: I20230830003816
Provider NameCheryl Marie Fikucki
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1316073570
PECOS PAC ID: 5597128868
Enrollment ID: I20230905000825
Provider NameVictoria H Whitney
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1023687233
PECOS PAC ID: 9234592411
Enrollment ID: I20230906001241
Provider NameMeghan Elizabeth Lavin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831542646
PECOS PAC ID: 4688038979
Enrollment ID: I20230920000819
Provider NameDanielle E Viveiros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245515238
PECOS PAC ID: 2567816648
Enrollment ID: I20230922001860
Provider NameJamilee Ann Sawicki
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1366132631
PECOS PAC ID: 2466806476
Enrollment ID: I20230925003409
Provider NameAdele L Ory
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1740964659
PECOS PAC ID: 0648624593
Enrollment ID: I20230926001954
Provider NameStephanie Ann Sech
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386246270
PECOS PAC ID: 7719332881
Enrollment ID: I20231010000113
Provider NameNicole Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194202655
PECOS PAC ID: 4284080565
Enrollment ID: I20231023001884
Provider NameElaina Rebello
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1528838729
PECOS PAC ID: 2769828672
Enrollment ID: I20240314001090
Provider NamePayton E Mahoney
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881457331
PECOS PAC ID: 6800233248
Enrollment ID: I20240321001857
Provider NameJaclyn Kutil
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1477055192
PECOS PAC ID: 5294174777
Enrollment ID: I20240416004286

Reviews and Comments

Psychiatric Unit in Worcester, MA

Olivia Homan, Licsw, Llc
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Medicare: Not Enrolled in Medicare
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Phone: 617-581-2267    
Autism Behavioral Health Services Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 140 Sterling St, Worcester, MA 01610
Phone: 508-321-3055    Fax: 508-321-3055
James P. Bresnahan
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Practice Location: 55 Cedar St, Worcester, MA 01609
Phone: 508-752-1170    Fax: 508-752-1800
Community Health Link
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Practice Location: 72 Jaques Ave, Worcester, MA 01610
Phone: 508-438-5578    Fax: 508-860-1023
Guided Growth Therapy Collective Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 24 Falcon St, Worcester, MA 01603
Phone: 508-769-2766    
Ld Psych Services
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Medicare: Not Enrolled in Medicare
Practice Location: 30 Allston Ave, Worcester, MA 01604
Phone: 508-356-4495    
Hope Wellness Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 465 Park Ave, Worcester, MA 01610
Phone: 508-713-1191    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.