Individual provider Active NPI

Wendy Gaines, MD

  • Family Medicine Physician
  • Waltham, MA
National Provider Identifier
1114997970
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
150709 Issued in MA
Practice address
9 Hope Ave
Ste 151
Waltham, MA 02453-2741
Phone
(781) 788-8444
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 150709 MA Primary

Addresses

Primary practice location

9 Hope Ave
Ste 151
Waltham, MA 02453-2741

Mailing address

330 Mt Auburn St
Parson 2
Cambridge, MA 02138-5597
Phone (617) 499-5083

Other practice location 1

725 Concord Ave Ste 2000
Cambridge, MA 02138-1052
Phone (617) 661-4600

Other identifiers 1

IdentifierTypeStateIssuer
3161781MedicaidMA

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
I20040804001274 MA Practitioner - Family Practice 7214908003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Family Medicine CurrentSince Aug 1, 2004 Accepting new patients
Mount Auburn Professional Services Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mt Auburn Professional Services Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mount Auburn Professional Services Inc PastSince Jul 21, 2024 Accepting new patients

Locations

330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026

725 Concord Ave
Ste 2000
Cambridge, MA 02138
Phone (617) 661-4600

725 Concord Ave
Ste 6100
Cambridge, MA 02138
Phone (617) 864-8822

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

9 Hope Ave
Ste 151
Waltham, MA 02453
Phone (781) 431-0060

Interoperability endpoints

  • Direct secure messaging: wgaines560336@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1114997970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MT AUBURN ST",
            "address_2": "PARSON 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385597",
            "telephone_number": "617-499-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOPE AVE",
            "address_2": "STE 151",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532741",
            "telephone_number": "781-788-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Concord Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021381052",
            "country_code": "US",
            "telephone_number": "617-661-4600",
            "fax_number": "617-547-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "150709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3161781",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.