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ELIZABETH M LIDSTONE JAYANATH MD
NPI 1124000294
Pediatrics in Garder, MA

Active since November 15, 2005PECOS Enrolled
175 CONNORS STREET, GARDER, MA 01440(978) 410-6100(978) 410-6109 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth M Lidstone Jayanath Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH M LIDSTONE JAYANATH MD (NPI 1124000294) is an individual pediatrics provider in Garder, Massachusetts, licensed in Massachusetts (156974) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124000294
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELIZABETH M LIDSTONE JAYANATHCredential: MD
Location Address175 CONNORS STREETGarder, MA 01440
Mailing Address326 Nichols RoadFitchburg, MA 01420-1914 · (978) 878-8100 · Fax (978) 878-8418
Phone(978) 410-6100
Fax(978) 410-6109
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateNovember 16, 2015
✔ NPI 1124000294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 156974
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
175 CONNORS STREET, Garder, MA 01440
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Other Identifiers 20

Other1836498First Health
Other33367Healthy Start
Other7521481Cigna Health Plan
Medicaid3188787MA
Other42389Fallon Community Hlth Pl
OtherA29170Medicare B
Medicare ID-Type UnspecifiedA29170
Other042472266Private Healthcare System
Other3188787Medicaid/welfare
Other784154Mvp Health Care
Other3188787Medicaid Pcc
Other7575320Aetna/us Healthcare
Other042472266Healthcare Value Mngment
Other042472266One Health Plan
OtherJ19766Blue Shield Hmo Blue
OtherJ19766Blue Care Elect
OtherJ19766Blue Shield Indemnity
Other33367Childrens Med Security Pl
OtherAA1277Harvard Pilgrim Healthcar
Medicare UPING86884

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth M Lidstone Jayanath Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Elizabeth Lidstone Jayanath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Connections, Inc.
Same address
Federally Qualified Health Center (FQHC)
175 CONNORS STREET
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 124 clinicians in this Medicare group
NPI 1285630533 (978) 410-6100
Reliant Medical Group, Inc
21 mi
Family Medicine
5 NEPONSET ST
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 718 clinicians in this Medicare group
NPI 1720017528 (508) 852-0600
The Fort Defiance Indian Hospital Board, Incorporation
2,029 mi
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
NPI 1477876639 (928) 729-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLEY ANN PRENDERGAST PA
Physician Assistant
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6121
DR. PETER JENGO D.D.S
Dentist
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6100
COMMUNITY HEALTH CONNECTIONS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6100
MRS. THERESA L. GACHUNA LICSW
Social Worker (Clinical)
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6131
DR. DENNIS NEAL COHEN D.M.D
Dentist
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6100
MR. DAVID ANDREW OIKEMUS LMHC
Counselor (Mental Health)
175 CONNORS STREET
GARDNER, MA 01440
Worcester County (978) 410-6131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Lidstone Jayanath's NPI number?

The NPI number for Elizabeth Lidstone Jayanath is 1124000294. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Elizabeth Lidstone Jayanath located?

Elizabeth Lidstone Jayanath practices at 175 Connors Street, Garder, MA 01440. The listed phone number is (978) 410-6100.

What is Elizabeth Lidstone Jayanath's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Lidstone Jayanath enrolled in Medicare?

Yes. Elizabeth Lidstone Jayanath is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Lidstone Jayanath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Lidstone Jayanath reassigns Medicare benefits to 3 organizations: Community Health Connections, Inc. (Gardner, MA), Reliant Medical Group, Inc (Worcester, MA) and The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Lidstone Jayanath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Lidstone Jayanath accept?

Health plans from Blue Cross Blue Shield of Arizona list Elizabeth Lidstone Jayanath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Lidstone Jayanath was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.