Individual provider Active NPI

Jacquelyn D Perna, DO

  • Family Medicine Physician
  • Cambridge, MA
National Provider Identifier
1013011980
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
230085 Issued in MA
Practice address
725 Concord Ave Ste 2000
Cambridge, MA 02138-1052
Phone
(617) 661-4600
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 230085 MA Primary

Addresses

Primary practice location

725 Concord Ave Ste 2000
Cambridge, MA 02138-1052

Mailing address

330 Mount Auburn St # 2
Cambridge, MA 02138-5597

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000436 MA Practitioner - Family Practice 2668449422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Family Medicine CurrentSince Jun 1, 2008 Accepting new patients
Mt Auburn Professional Services Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Mount Auburn Professional Services Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
County of Sacramento Past Accepting new patients

Locations

330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026

725 Concord Ave
Ste 2000
Cambridge, MA 02138
Phone (617) 661-4600

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jperna560266@direct.bilh.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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1013011980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST # 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 2000",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381052",
            "telephone_number": "617-661-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "JACQUELYN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "230085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.