Active NPI
Nidha P. Mattappally, M.D.
- Gynecology Physician
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 278055
- Practice address
- Lahey Hospital and Medical Center
41 Mall Road
Burlington, MA 01805 - Phone
- (781) 744-8560
- Fax
- (781) 744-5398
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 263545 | MA | |
| Gynecology Physician | 207VG0400X | 278055 | MA | Primary |
Addresses
Primary practice location
Lahey Hospital and Medical Center
41 Mall Road
Burlington, MA 01805
Mailing address
Lahey Hospital and Medical Center
41 Mall Road
Burlington, MA 01805-0001
Phone (781) 744-8560
Other practice location 1
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000
Other practice location 2
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000
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
- Obstetrics/Gynecology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 W Cummings Park
Woburn, MA 01801-6372
Phone (781) 787-3003
Hospital & facility affiliations
- Winchester Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278055 | MA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| New England Womens Healthcare | Obstetrics & Gynecology | Current | Accepting new patients |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Winchester Hospital | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
66X Concord St
Wilmington, MA 01887
Phone (781) 787-3003
800 W Cummings Park
Ste 4050
Woburn, MA 01801
Phone (781) 787-3003
Interoperability endpoints
- nmattappally125633@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Woburn, MA
- NPI 1881120202
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1063807600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAHEY HOSPITAL AND MEDICAL CENTER",
"address_2": "41 MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8560",
"fax_number": "781-744-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAHEY HOSPITAL AND MEDICAL CENTER",
"address_2": "41 MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "01805",
"telephone_number": "781-744-8560",
"fax_number": "781-744-5398"
}
],
"practiceLocations": [
{
"address_1": "119 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052903",
"country_code": "US",
"telephone_number": "508-334-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052903",
"country_code": "US",
"telephone_number": "508-334-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTAPPALLY",
"first_name": "NIDHA",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "263545",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MA",
"license": "278055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.