Individual provider Active NPI

Hernan M Avella, MD

  • Pulmonary Disease Physician
  • Brighton, MA
National Provider Identifier
1073736302
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
277500 Issued in MA
Practice address
77 Warren St FL 2
Brighton, MA 02135
Phone
(617) 789-2081
Fax
(617) 779-6798
NPI assigned
Apr 11, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 277500 MA Primary

Addresses

Primary practice location

77 Warren St FL 2
Brighton, MA 02135

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice location 1

2347 E Gala St
Meridian, ID 83642-4881
Phone (208) 323-3767

Other names 1

  • Hernan M Avella Macias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MA, NC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20130528000761 ID Practitioner - Internal Medicine 9234224106 Reassigns benefits to 1 organization
I20190320001557 MA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9234224106 Reassigns benefits to 2 organizations
I20210611001991 MA Practitioner - Critical Care (Intensivists) 9234224106 Reassigns benefits to 4 organizations
I20260622002715 NC Practitioner - Pulmonary Disease 9234224106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Incare Lawrence, PLLCGroup PAC ID 0648678953, 20 clinicians
Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians
Incare LLCGroup PAC ID 1153658851, 62 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

565 Turnpike St
Suite 85
North Andover, MA 01845-5936
Phone (978) 689-2247

70 E St
Methuen, MA 01844-4597
Phone (781) 600-7599

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Tufts PLLC CurrentSince Aug 25, 2025 Accepting new patients
BMC Affiliated Physicians, Inc. Pulmonary Disease CurrentSince Jun 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 16, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 16, 2019 Accepting new patients
Incare LLC CurrentSince Jul 1, 2021 Accepting new patients
Vibra Physicians LLC CurrentSince Feb 25, 2015 Accepting new patients
Incare Lawrence PLLC Pulmonary Disease CurrentSince Oct 21, 2021 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
JC Hospitalists PLLC Past Accepting new patients
East Coast Hospital Inpatient Specialists PLC PastSince Nov 19, 2011 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients

Locations

2131 S Bonito Way
Meridian, ID 83642
Phone (208) 202-4700

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

77 Warren St
Fl 2
Brighton, MA 02135
Phone (617) 562-5525

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 254-4983

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

70 East St
Methuen, MA 01844
Phone (978) 682-1906

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073736302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "fax_number": "617-414-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST FL 2",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-789-2081",
            "fax_number": "617-779-6798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2347 E Gala St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836424881",
            "country_code": "US",
            "telephone_number": "208-323-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVELLA",
        "first_name": "HERNAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "277500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERNAN",
            "last_name": "AVELLA MACIAS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.