Harbor Medical Associates, Inc.
Organization Active NPI Cardiovascular Disease Physician · South Weymouth, MA
NPI 1124079561 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1124079561
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- HARBOR MEDICAL ASSOCIATES, INC.
- Practice address
- 541 Main St
Suite 400
South Weymouth, MA 02190-1868 - Phone
- (781) 952-1240
- Fax
- (781) 952-1257
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Sarathchandra Reddy
- Title
- Chief
- Phone
- (781) 848-6040
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Subparts reporting this organization as parent 4
Member of 1
Practitioners 453
-
Rafael Antonio Altieri, M.D.
-
Bret Adam Ancowitz, M.D.
-
Elvis Joel Aponte-Rivera, M.D.
-
Tara Armstrong, PA-C
-
Kevin Bersell, MD, PHD
-
Katharine Boynton Brandt, PA-C
-
Cecilia R Briggs, CNP
-
Rebecca Yu Broadhurst, A-GNP, WHNP-BC
-
Shannon Leigh Burnham, M.D.
-
Kristen Carroll, NP
-
Jeanne M. Colton, NP
-
Alene J Conant, M.D.
-
John J. Costa, M.D.
-
Celeste Crowley, NP
-
Jillian D'Amore, AGPCNP
-
Mary L. Delaney, MD
-
Peter Michael Doubilet, M.D., PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040719000954 | MA | Part B Supplier - Clinic/Group Practice | 2466356209 |
Receives reassigned benefits from 450 practitioners Practice locations: Quincy, MA; S Weymouth, MA; Scituate, MA; South Weymouth, MA; Weymouth, MA; Pembroke, MA; Braintree, MA; Buzzards Bay, MA… |
| O20050627000057 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2466356209 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: South Weymouth, MA |
| O20060313000313 | MA | Part B Supplier - Independent Clinical Laboratory | 2466356209 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: S Weymouth, MA; South Weymouth, MA |
National Provider Directory
Locations
62 13th St
Ofc
Charlestown, MA 02129
40 Tremont St
Ste 52
Duxbury, MA 02332
Phone (781) 934-6200
77 Accord Park Dr
#7517
Norwell, MA 02061
28 Riverside Dr
Pembroke, MA 02359
Phone (781) 248-3730
21 McGrath
Quincy, MA 02169
Phone (617) 773-6868
56 New Driftway
Scituate, MA 02066
Phone (781) 544-3434
795 Bridge St
Weymouth, MA 02191
Phone (617) 337-4105
541 Main St
Ste 414
Weymouth, MA 02190
Phone (781) 952-1433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Hematology & Oncology Physician |
207RH0003X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Nuclear Cardiology Physician |
207UN0901X | MA |
Addresses
Primary practice location
541 Main St
Suite 400
South Weymouth, MA 02190-1868
Mailing address
541 Main St
Suite 400
South Weymouth, MA 02190-1868
Phone (781) 952-1240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009288 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 603236 | Other | MA | TUFTS GROUP NUMBER |
| 9741194 | Medicaid | MA | |
| M13981 | Other | MA | BLUE CROSS BLUE SHIELD |
| 084 | Other | MA | TUFTS MEDICARE PREFERRED |
| 24323 | Other | MA | FALLON COMM HEALTH PLAN |
Other providers in South Weymouth, MA
- Robbin Lyn Hall
- Gretchen Ruth Hamn
- Kyle Anthony Hansen-Gonzalez
- Harbor Medical Associates P.C.
- Harbor Medical Associates P.C.
- Harbor Medical Associates, Inc.
- Harbor Medical Associates, Inc.
- Andrew David Harding
- Harris Chiropractic Office
- Deshawn Harris
All providers in South Weymouth, MA · Cardiovascular Disease 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 Feb 14, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.