Active NPI
Paul M Ridker, MD
- Cardiovascular Disease Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 60007
- Practice address
- 900 Commonwealth Ave East
Brigham and Womens Hospital Preventive Medicine Div
Boston, MA 02215 - Phone
- (617) 278-0869
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 60007 | MA | Primary |
Addresses
Primary practice location
900 Commonwealth Ave East
Brigham and Womens Hospital Preventive Medicine Div
Boston, MA 02215
Mailing address
900 Commonwealth Ave East
Brigham and Womens Hospital Preventive Medicine Div
Boston, MA 02215
Phone (617) 278-0869
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Harvard Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
75 Francis St
#360U2
Boston, MA 02115
Interoperability endpoints
- ridker.paul.bwh@direct.partners.masshiway.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1063478261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 COMMONWEALTH AVE EAST",
"address_2": "BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIV",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-278-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COMMONWEALTH AVE EAST",
"address_2": "BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIV",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-278-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDKER",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "60007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.