Active NPI
Blue Circle Health, Inc.
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
National Provider Identifier
1104513951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- BLUE CIRCLE HEALTH, INC.
- Practice address
- 56 Broad St Ste 14281
Boston, MA 02109-4301 - Phone
- (888) 404-4813
- NPI assigned
- Apr 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucesita Scammon
- Title
- Program Manager
- Phone
- (888) 404-4813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
56 Broad St Ste 14281
Boston, MA 02109-4301
Mailing address
56 Broad St Ste 14281
Boston, MA 02109-4301
Phone (888) 404-4813
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1235939927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768521600000",
"number": "1104513951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BROAD ST STE 14281",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094301",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 BROAD ST STE 14281",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094301",
"telephone_number": "888-404-4813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE CIRCLE HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-21",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A",
"authorized_official_last_name": "SCAMMON",
"authorized_official_first_name": "LUCESITA",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "888-404-4813"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.