Active NPI
Rafael A Pupo, M.D.
- Dermatology Physician
- Chelmsford, MA
National Provider Identifier
1093752685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 70601
- Practice address
- 228 Billerica Rd
Chelmsford, MA 01824-3604 - Phone
- (978) 250-6010
- Fax
- (978) 244-6610
- NPI assigned
- Jun 1, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 70601 | MA | Primary |
Addresses
Primary practice location
228 Billerica Rd
Chelmsford, MA 01824-3604
Mailing address
228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3186750 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpupomd2515@direct.atrius.masshiway.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1093752685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 BILLERICA RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243604",
"telephone_number": "978-250-6010",
"fax_number": "978-244-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 BILLERICA RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243604",
"telephone_number": "978-250-6010",
"fax_number": "978-244-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUPO",
"first_name": "RAFAEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "70601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3186750",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpupomd2515@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "228 Billerica Rd",
"city": "Chelmsford",
"state": "MA",
"country_code": "US",
"postal_code": "018243604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.