Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johan Hendrik Leonard Boneschansker, MD

Individual provider Gastroenterology Physician · NPI 1124474028

Johan Hendrik Leonard Boneschansker, MD is a Gastroenterology in Worcester, Massachusetts. Qualified in 2012, 14 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 157 Union St, Marlborough, MA 01752-1228 — (508) 334-3068
  • 119 Belmont St, Worcester, MA 01605-2903 — (508) 334-3068
  • 21 Eastern Ave, Worcester, MA 01605-3094 — (508) 334-8036

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 282680 (MA)

Record details

NPI number1124474028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESDecember 8, 2023
Certification dateJuly 26, 2023
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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