Individual provider Active NPI

Rachid Chakri, PA-C

  • Physician Assistant
  • Cambridge, MA
National Provider Identifier
1033763354
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7146 Issued in MA
Practice address
100 Binney St
Cambridge, MA 02142-1096
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 25, 2019
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA7146 MA
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA7146 MA Primary

Addresses

Primary practice location

100 Binney St
Cambridge, MA 02142-1096

Mailing address

76 Thacher St Apt 2
Malden, MA 02148-6527
Phone (857) 277-9169

Other practice location 1

195 Canal St
Malden, MA 02148-6701
Phone (781) 338-0500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202001076 MA Practitioner - Physician Assistant 4284067489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

53 State St
Suite 106
Boston, MA 02109-2820
Phone (617) 903-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Aug 15, 2022 Accepting new patients
Cambridge Public Health Commission CurrentSince Oct 28, 2019 Accepting new patients

Locations

53 State St
Ste 106
Boston, MA 02109

822 Somerville Ave
Cambridge, MA 02140
Phone (617) 520-9530

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

195 Canal St
Malden, MA 02148
Phone (781) 338-0055

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1033763354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 THACHER ST APT 2",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486527",
            "telephone_number": "857-277-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BINNEY ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421096",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Canal St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021486701",
            "country_code": "US",
            "telephone_number": "781-338-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRI",
        "first_name": "RACHID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "PA7146",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.