Individual provider Active NPI

Janine Rachel Pardo, M.D.

  • Internal Medicine Physician
  • Weston, MA
National Provider Identifier
1093987471
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257107 Issued in MA
Practice address
134 South Ave
Weston, MA 02493-1923
Phone
(781) 472-2222
Fax
(781) 907-7112
NPI assigned
Mar 26, 2008
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 384967 NY
Internal Medicine Physician 207R00000X 257107 MA Primary

Addresses

Primary practice location

134 South Ave
Weston, MA 02493-1923

Mailing address

134 South Ave
Weston, MA 02493-1923
Phone (781) 472-2222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519001757 MA Practitioner - Internal Medicine 8123194560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifestyle Medical and Cardiovascular Associates PCGroup PAC ID 0941611016, 7 clinicians

Practice addresses (Care Compare)

112 Worcester St
Suite 303
Wellesley, MA 02481-3632
Phone (617) 916-9433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257107MAMDInternal Medicine Physician
384967NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 18, 2015 Accepting new patients
Lifestyle Medical and Cardiovascular Associates PC CurrentSince Nov 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 18, 2015 Accepting new patients
Murray Hill Medical Group PC PastSince Jun 1, 1992 Accepting new patients

Locations

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

300 Boylston St
Ste 201
Chestnut Hill, MA 02467
Phone (617) 831-7100

112 Worcester St
Ste 303
Wellesley Hills, MA 02481
Phone (617) 916-9433

134 South Ave
Ste 2
Weston, MA 02493
Phone (617) 891-5607

Organizations & group practices 4

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 2

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1093987471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SOUTH AVE",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931923",
            "telephone_number": "781-472-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SOUTH AVE",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931923",
            "telephone_number": "781-472-2222",
            "fax_number": "781-907-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "JANINE",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "384967",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "257107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.