Organization Active NPI

Deo Medical PC

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1134877889
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DEO MEDICAL PC
Practice address
535 Boylston St # 7
Boston, MA 02116-3720
Phone
(339) 204-5454
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Rahul Chandrakant Deo, MD, PHDNPI 1942316807
Title
President
Phone
(617) 223-1860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

535 Boylston St # 7
Boston, MA 02116-3720

Mailing address

535 Boylston St # 7
Boston, MA 02116-3720
Phone (617) 514-2362

Other practice location 1

5529 Satinleaf Way
San Ramon, CA 94582-5059
Phone (617) 223-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI, ME, NH, NM5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20220718001251 MA Part B Supplier - Clinic/Group Practice 5991186249 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA
O20220810002059 MI Part B Supplier - Clinic/Group Practice 5991186249 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI
O20240131002517 ME Part B Supplier - Clinic/Group Practice 5991186249 Receives reassigned benefits from 1 practitioner
Practice locations: South Portland, ME
O20240201000797 NH Part B Supplier - Clinic/Group Practice 5991186249 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH
O20240709001777 NM Part B Supplier - Clinic/Group Practice 5991186249 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

443 Western Ave
#1105
South Portland, ME 04106
Phone (339) 204-5454

13854 Lakeside Cir
Ste 222
Sterling Heights, MI 48313
Phone (339) 204-5454

6001 Menaul Blvd NE
#1011
Albuquerque, NM 87110
Phone (617) 514-2362

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1134877889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 BOYLSTON ST # 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163720",
            "telephone_number": "617-514-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BOYLSTON ST # 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163720",
            "telephone_number": "339-204-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5529 Satinleaf Way",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945825059",
            "country_code": "US",
            "telephone_number": "617-223-1860",
            "fax_number": "617-440-9978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEO MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DEO",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "CHANDRAKANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-223-1860",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.