Julio C. Ayala, MD
Individual provider Active NPI Gastroenterology Physician · Cambridge, MA
NPI 1104883347 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104883347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 212396 (MA)
- Practice address
- 300 Mount Auburn St
Cambridge, MA 02138-5600 - Phone
- (617) 499-0026
- Fax
- (617) 499-0032
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emerson Practice Associates, Inc
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159
310 Baker Ave
Concord, MA 01742-2140
Hospital & facility affiliations
- Emerson Hospital -
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 86 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 74 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040908000108 | MA | Practitioner - Gastroenterology |
4789650185 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Institute of Technology | Current |
Accepting new patients | |
| Emerson Practice Associates, Inc. | Current |
Accepting new patients | |
| Emerson Endoscopy and Digestive Health Center, LLC | Past |
Accepting new patients | |
| Emerson Endoscopy and Digestive Health Center, LLC | Past |
Accepting new patients |
Locations
25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556
310 Baker Ave
Ste 175D
Concord, MA 01742
Phone (978) 287-3835
310 Baker Ave
Ste 175A
Concord, MA 01742
Phone (978) 776-1710
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
Interoperability endpoints
- ayala.julio.epa@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 212396 | MA | Yes |
Addresses
Primary practice location
300 Mount Auburn St
Cambridge, MA 02138-5600
Mailing address
300 Mount Auburn St
Cambridge, MA 02138-5665
Phone (617) 499-0026
Other providers in Cambridge, MA
- Narine Avetisyan
- Keyona Denise Aviles
- Roni Rachel Avimor Horovitz
- Nelson Kisob Aweh
- Leslie Allison Axford
- Ashley Braceland Aylaian
- Ryan C. Aylward
- Didem Aytok
- Naomi Tamara Azar
- Eisha Azhar
All providers in Cambridge, MA · Gastroenterology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.