Active NPI
Nancy Gracin, M.D.
- Cardiovascular Disease Physician
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036086905
- Practice address
- 40 2ND Ave
Suite 520
Waltham, MA 02451-1132 - Phone
- (781) 487-6000
- Fax
- (781) 497-2978
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036086905 | IL | Primary |
Addresses
Primary practice location
40 2ND Ave
Suite 520
Waltham, MA 02451-1132
Mailing address
40 Second Avenue
Suite 520
Waltham, MA 02451
Phone (781) 487-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Georgetown University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100
151 Everett Ave
Chelsea, MA 02150-1812
Phone (617) 884-8300
19 Norwood St
Everett, MA 02149-2709
Phone (617) 394-7500
25 New Chardon St
301 MGH Heart Center
Boston, MA 02114-4774
Phone (617) 726-1843
300 Ocean Ave
Revere, MA 02151-3675
Phone (781) 485-6300
385 Broadway
Revere, MA 02151-3033
Phone (617) 267-7171
388 Commonwealth Ave
Boston, MA 02215-2800
Phone (617) 267-7171
50 Staniford St
Boston, MA 02114-2517
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts General Hospital
- North Shore Medical Center -
- Newton-Wellesley Hospital
- Brigham and Women'S Hospital
- Wentworth-Douglass Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
52 Second Ave
Ste 520
Waltham, MA 02451
Phone (781) 487-6000
Interoperability endpoints
- gracin.nancy.mgh@direct.partners.masshiway.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1003852526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SECOND AVENUE",
"address_2": "SUITE 520",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02451",
"telephone_number": "781-487-6000",
"fax_number": "781-497-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 2ND AVE",
"address_2": "SUITE 520",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511132",
"telephone_number": "781-487-6000",
"fax_number": "781-497-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIN",
"first_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036086905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.