Active NPI
Megan T Sandel, MD
- Pediatrics Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 159608
- Practice address
- 850 Harrison Ave
Yacc5
Boston, MA 02118-4001 - Phone
- (617) 414-5946
- Fax
- (617) 414-4541
- NPI assigned
- Nov 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 159608 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave
Yacc5
Boston, MA 02118-4001
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110061657A | Medicaid | MA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159608 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Child Health Foundation of Boston, Inc. | Pediatrics | Current | Accepting new patients |
| Brockton Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Brockton Neighborhood Health Center | Current | Accepting new patients | |
| Boston Community Pediatrics Inc | Pediatrics | Past | Accepting new patients |
Locations
850 Harrison Ave
#5
Boston, MA 02118
Phone (617) 414-2000
850 Harrison Ave
#4
Boston, MA 02118
Phone (617) 414-2000
850 Harrison Ave
#6
Boston, MA 02118
Phone (617) 414-4841
63 Main St
Brockton, MA 02301
Phone (508) 559-6696
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245
Interoperability endpoints
- https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
- msandel20834@direct.ctc.masshiway.net
- msandel11969@direct.bmc.masshiway.net
- https://api.platform.athenahealth.com/22231/brand/1/csg/1/fhir/r4
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.
-
- Federally Qualified Health Center (FQHC)
- Brockton, MA
- NPI 1225085319
-
- Pediatrics Physician
- Boston, MA
- NPI 1619969920
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community/Retail Pharmacy
- Brockton, MA
- NPI 1528704061
-
- Pediatrics Physician
- Boston, MA
- NPI 1053927574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1083697429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "YACC5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-414-5946",
"fax_number": "617-414-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDEL",
"first_name": "MEGAN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "159608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110061657A",
"state": "MA"
}
],
"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 22, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.