Individual provider Active NPI

Clifford George Risk, M.D., PH.D.

  • Pulmonary Disease Physician
  • Marlborough, MA
National Provider Identifier
1013029651
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
47576 Issued in MA
Practice address
320 Bolton St
Suite 101
Marlborough, MA 01752-3980
Phone
(508) 481-4288
Fax
(508) 624-7228
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 47576 MA
Pulmonary Disease Physician 207RP1001X 47576 MA Primary

Addresses

Primary practice location

320 Bolton St
Suite 101
Marlborough, MA 01752-3980

Mailing address

320 Bolton St
Suite 101
Marlborough, MA 01752-3980
Phone (508) 481-4288

Other identifiers 1

IdentifierTypeStateIssuer
6166164MedicaidMA

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
I20060320000595 MA Practitioner - Pulmonary Disease 4284641069 Practice locations: Marlborough, MA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Irvine California College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

320 Bolton St
Marlborough, MA 01752-3980
Phone (508) 481-4288

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
47576MAMDLegal Medicine

Hospital & facility affiliations 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1013029651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "address_2": "SUITE 101",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523980",
            "telephone_number": "508-481-4288",
            "fax_number": "508-624-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "address_2": "SUITE 101",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523980",
            "telephone_number": "508-481-4288",
            "fax_number": "508-624-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISK",
        "first_name": "CLIFFORD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MA",
            "license": "47576",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "47576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6166164",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.