MARY ELIZABETH CHMURA (MD) – Family Medicine Physician, NPI 1174586051

MARY ELIZABETH CHMURA (MD) is a healthcare provider. based in Worthington, Massachusetts. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. 221958 (MA). The NPI Number for MARY ELIZABETH CHMURA (MD) is 1174586051

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH CHMURA (MD)
NPI
1174586051
Phone
(413) 238-5511
Address
58 OLD NORTH RD
Enumeration Date
11 April 2006
Last Update Date
7 October 2011

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
4136673009
Graduation Year
1996 (30 years ago)
PAC ID
8325082464
Group Practice PAC ID
7315830148
Professional Enrollment ID
I20050620000272
Address ID
MA010509777HU73XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

60 GENERAL PRACTICE in MA

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Provider Addresses for MARY ELIZABETH CHMURA (MD)

  • 58, Old North Road, Worthington Corners, Worthington, Massachusetts, United States

    WORTHINGTON, MA 010989753

    Phone: (413) 238-5511

    Fax: (413) 238-5358

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050620000272IGeneral PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315830148View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineMA
Nurse PractitionerMA
O P T O M E T R YMA
Clinical Social WorkerMA
Internal MedicineMA
Geriatric Medicine, Hospice/Palliative CareMA
Family Practice, Internal MedicineMA
Family PracticeCO
Nurse PractitionerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What is MARY ELIZABETH CHMURA (MD)'s NPI number?
MARY ELIZABETH CHMURA (MD)'s NPI is 1174586051 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MARY ELIZABETH CHMURA (MD)?
For scheduling context, MARY ELIZABETH CHMURA (MD) is shown as active in the registry.
What kind of doctor is MARY ELIZABETH CHMURA (MD)?
MARY ELIZABETH CHMURA (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MARY ELIZABETH CHMURA (MD)?
Directory geography for MARY ELIZABETH CHMURA (MD) centers on Worthington, Massachusetts.
Does MARY ELIZABETH CHMURA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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