Individual provider Active NPI

Jarrett Matthew Burr, PA-C

  • Physician Assistant
  • Westborough, MA
National Provider Identifier
1104150374
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3833 Issued in MA
Practice address
139 Turnpike Rd
Westborough, MA 01581-2835
Phone
(508) 882-7312
NPI assigned
Sep 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00524 RI
Physician Assistant 363A00000X PA3833 MA Primary

Addresses

Primary practice location

139 Turnpike Rd
Westborough, MA 01581-2835

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100106000551 RI Practitioner - Physician Assistant 5395886824 Reassigns benefits to 1 organization
I20210120003323 MA Practitioner - Physician Assistant 5395886824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

1285 Belmont St
Suite 1
Brockton, MA 02301-4440
Phone (508) 894-7015

139 Turnpike Rd
Westborough, MA 01581-2835
Phone (508) 882-7300

140 Samoset St
Suite 2
Plymouth, MA 02360-4802
Phone (508) 209-5362

15 Pleasant Valley Rd
Sutton, MA 01590-2970
Phone (508) 426-9005

180 Main St
Saugus, MA 01906-4502
Phone (339) 674-0978

181 Cambridge St
Burlington, MA 01803-2922
Phone (781) 730-0045

20 Commercial Rd
Suite 2
Leominster, MA 01453-3339
Phone (978) 798-6896

210 Andover St
Peabody, MA 01960-1647
Phone (978) 488-3234

236 Cochituate Rd
Framingham, MA 01701-4627
Phone (774) 244-3227

245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355

256 Washington St
Unit 2
Hudson, MA 01749-2735
Phone (978) 293-5026

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

471 Ctr St
Ludlow, MA 01056-2733
Phone (413) 625-3500

70 Gold Star Blvd
Worcester, MA 01606-2812
Phone (508) 426-9002

86 Taunton St
Plainville, MA 02762-2131
Phone (508) 928-5211

999 Dalton Ave
Pittsfield, MA 01201-2903
Phone (413) 242-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00524RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Aug 26, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 26, 2023 Accepting new patients
Convenientmd LLC Past Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients
Emergency Medical Associates of Rhode Island PC Past Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

139 Turnpike Rd
Westborough, MA 01581
Phone (508) 882-7300

111 New Hampshire Ave
Portsmouth, NH 03801

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1104150374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 TURNPIKE RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812835",
            "telephone_number": "508-882-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "JARRETT",
        "middle_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00524",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.