Active NPI
Alan Gary Corman, MD
- Psychiatry Physician
- Arlington, MA
National Provider Identifier
1043247273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31483
- Practice address
- 94 Pleasant Street
Suite 7
Arlington, MA 02476-6532 - Phone
- (781) 643-0310
- Fax
- (781) 643-0310
- NPI assigned
- Jun 26, 2006
- Last updated
- Dec 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31483 | MA | Primary |
Addresses
Primary practice location
94 Pleasant Street
Suite 7
Arlington, MA 02476-6532
Mailing address
94 Pleasant Street
Suite 7
Arlington, MA 02476-6532
Phone (781) 643-0310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115371 | Medicaid | MA | |
| COB11392 | Other | BLUE CROSS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050917000130 | MA | Practitioner - Psychiatry | 5698708865 | Practice locations: Arlington, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
94 Pleasant St
Arlington, MA 02476-6532
Phone (781) 643-0310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1043247273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 PLEASANT STREET",
"address_2": "SUITE 7",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766532",
"telephone_number": "781-643-0310",
"fax_number": "781-643-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 PLEASANT STREET",
"address_2": "SUITE 7",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766532",
"telephone_number": "781-643-0310",
"fax_number": "781-643-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMAN",
"first_name": "ALAN",
"middle_name": "GARY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "31483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0115371",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "COB11392",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.