Organization Active NPI

Concord Cardiology

  • Cardiovascular Disease Physician
  • Concord, MA
National Provider Identifier
1003896721
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CONCORD CARDIOLOGY
Practice address
131 Old Road to Nine Acre Corner
Suite 520 John Cuming BLDG
Concord, MA 01742
Phone
(978) 287-0021
Fax
(978) 287-0155
NPI assigned
Jan 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anjum N Butte, MDNPI 1104807379
Title
Owner
Phone
(978) 287-0021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

131 Old Road to Nine Acre Corner
Suite 520 John Cuming BLDG
Concord, MA 01742

Mailing address

131 Old Road to Nine Acre Corner
Suite 520 John Cuming BLDG
Concord, MA 01742
Phone (978) 287-0021

Other identifiers 1

IdentifierTypeStateIssuer
3175600MedicaidMA

Other names 1

  • Anjum Butte MD Other name

National Provider Directory

National Provider Directory
Tax ID family
Anjum Butte MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

131 Ornac
Ste 520
Concord, MA 01742
Phone (978) 287-0021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003896721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER",
            "address_2": "SUITE 520 JOHN CUMING BLDG",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-287-0021",
            "fax_number": "978-287-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER",
            "address_2": "SUITE 520 JOHN CUMING BLDG",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-287-0021",
            "fax_number": "978-287-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTTE",
        "authorized_official_first_name": "ANJUM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-287-0021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3175600",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anjum Butte MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.