Gunardi Nyoto Irawan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

269613 Issued in MA

Practice address

162 Main St
Northborough, MA 01532-1930

Phone

(508) 770-6701

Fax

(508) 770-6702

NPI assigned

Jul 9, 2013

Last updated

Jan 26, 2026By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA, OR2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Charles River Medical Associates, PCGroup PAC ID 3476630450, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna Care Network Home health agency, Worcester, MA, CCN 227098
• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
• Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: irawan.gunardi.crm@direct.partners.masshiway.net

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.

• Charles River Medical Associates PC

  • Internal Medicine Physician
  • Framingham, MA
  • NPI 1598215204
  Medicare reassignment Care Compare group NPD
• Charles River Medical Associates PC

  • Sports Medicine (Internal Medicine) Physician
  • Northborough, MA
  • NPI 1710495585
  NPD
• Charles River Medical Associates, PC

  • Radiology Clinic/Center
  • Framingham, MA
  • NPI 1104073253
  NPD (past)
• Portland Clinic

  dba Roger E. Alberty, M.D. Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Tigard, OR
  • NPI 1508040486
  NPD (past)

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

• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 9 Inc

  dba MetroWest Medical Center

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  Care Compare affiliation
• Vna Care Network, Inc.

  • Home Health Agency
  • Worcester, MA
  • NPI 1922002286
  Care Compare affiliation

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1053752832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321930",
            "telephone_number": "508-770-6701",
            "fax_number": "508-770-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRAWAN",
        "first_name": "GUNARDI",
        "middle_name": "NYOTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "269613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Irawan.Gunardi.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "162 Main St",
            "city": "Northborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015321930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Hubbard
• Angela Dawn Hunt, MD
• Joel A Hurwitz, M.D.
• Farhan Ibrahimi, MD
• Integrative Psychiatry Health, PLLC
• Lisa Irvine, MS OTR/L RYT200
• Briana Jackson, PA-S
• Michelle Jacques, PA-C
• Jared Manteuffel LMHC LLC
• Leanne Joeckel, LICSW

• Internal Medicine Physician in Northborough, MA
• Providers in Northborough, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.