Active NPI
Anil K Nair, MD
- Neurology Physician
- Quincy, MA
National Provider Identifier
1003834433
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 18, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 230181
- Practice address
- 54 Miller St
4TH Floor
Quincy, MA 02169-4725 - Phone
- (617) 639-5006
- Fax
- (617) 934-2425
- NPI assigned
- Jul 17, 2006
- Last updated
- Jan 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 46924 | WI | |
| Neurology Physician | 2084N0400X | 46056 | MN | |
| Neurology Physician | 2084N0400X | 230181 | MA | Primary |
Addresses
Primary practice location
54 Miller St
4TH Floor
Quincy, MA 02169-4725
Mailing address
173 Forest St
Winchester, MA 01890-1055
Phone (617) 639-5006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46056 | MN | MD | Neurology Physician |
| 46924 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Neuropsychiatry LLC | Past | Accepting new patients | |
| Boston University Neurology Associates, Inc. | Neurology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Braintree, MA
- NPI 1144811753
-
- Neurology Physician
- Boston, MA
- NPI 1528005436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1003834433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 FOREST ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901055",
"telephone_number": "617-639-5006",
"fax_number": "617-934-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MILLER ST",
"address_2": "4TH FLOOR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694725",
"telephone_number": "617-639-5006",
"fax_number": "617-934-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "ANIL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "46924",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "46056",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "230181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.