NPIMap

Individual provider Active NPI

Saeid Elmi, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Medford, MA
National Provider Identifier
1023105459
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
52089 Issued in MA
Practice address
170 Governors Avenue
Hallmak Health Medical Associates, Inc
Medford, MA 02155
Phone
(781) 979-2424
Fax
(781) 338-7557
NPI assigned
Oct 6, 2006
Last updated
May 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52089 MA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 52089 MA Primary

Addresses

Primary practice location

170 Governors Avenue
Hallmak Health Medical Associates, Inc
Medford, MA 02155

Mailing address

170 Governors Avenue
Hallmark Health Medical Associates, Inc
Medford, MA 02155
Phone (781) 979-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000874 MA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3072569466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Healthcare LLCGroup PAC ID 5597131532, 30 clinicians

Practice addresses (Care Compare)

10 Mall Rd
Suite 305
Burlington, MA 01803-4121
Phone (781) 488-6843

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52089MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthplus LLC CurrentSince Oct 4, 2020 Accepting new patients
360 Healthcare LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
200 Governors Opco LLC Past Accepting new patients
120 Murray Opco LLC Past Accepting new patients
Vantage at Wakefield LLC Past Accepting new patients
Long Term Centers of New England, Inc Past Accepting new patients
Marblehead Healthcare Solutions LLC Past Accepting new patients
Billerica Healthcare Solutions, LLC Past Accepting new patients
Lynn Healthcare Solutions Past Accepting new patients
New England Homes for the Deaf Past Accepting new patients
Brentwood Operator, LLC Past Accepting new patients
Chestnut Woods Operator LLC Past Accepting new patients

Locations

10 Mall Rd
Ste 301
Burlington, MA 01803
Phone (781) 488-6843

10 Mall Rd
Ste 305
Burlington, MA 01803

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Greenwood Nursing & Rehabilitation CenterWakefield, MA, CCN 225736 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2001
Jan 1, 2001
Abbott Skilled Nursing & Rehabilitation CenterLynn, MA, CCN 225344 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
May 13, 2025
Devereux Skilled Nursing & Rehabilitation CenterMarblehead, MA, CCN 225398 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
May 15, 2025
Regalcare at Glen RidgeMedford, MA, CCN 225523 Skilled nursing facility Contracted Managing Employee May 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1023105459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVENUE",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES, INC",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-979-2424",
            "fax_number": "781-338-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVENUE",
            "address_2": "HALLMAK HEALTH MEDICAL ASSOCIATES, INC",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-979-2424",
            "fax_number": "781-338-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMI",
        "first_name": "SAEID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "52089",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "52089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.