Marvin Konstam, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

40385 Issued in MA

Practice address

750 Washington St
Nemc Box 836
Boston, MA 02111-1526

Phone

(617) 636-5000

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology), Diagnostic Radiology, Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Center at Tufts Medical Center IncGroup PAC ID 3870857816, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medical Center Hospital, Boston, MA, CCN 220116
• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
• Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cardiovascular Center at Tufts Medical Center, Inc.

  • Cardiovascular Disease Physician
  • Boston, MA
  • NPI 1447764253
  Medicare reassignment Care Compare group NPD
• Pratt Medical Group, Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1275570319

  Cardiovascular Disease

  Medicare reassignment NPD
• Pratt Medical Group, Inc

  • Internal Medicine Physician
  • Quincy, MA
  • NPI 1447525241
  NPD
• Pratt Medical Group, Inc

  • Pulmonary Disease Physician
  • Boston, MA
  • NPI 1508187642
  NPD

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

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Care Compare affiliation
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 9 Inc

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053428474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "NEMC BOX 836",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-7105",
            "fax_number": "617-636-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "NEMC BOX 836",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTAM",
        "first_name": "MARVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "40385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karon Margaret Konner, MSW
• Nellie Konnikov, MD
• Yelizaveta Konnikova
• Laurie F Konowitz, MD
• Zachary Kons, MD
• Varda Konstam
• Daryl Konstandt
• Yuval Konstantino, MD
• Panagiotis Konstantinopoulos, M.D.
• Jessica L Konter, PT

• Cardiovascular Disease Physician in Boston, MA
• Providers in Boston, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.