Individual provider Active NPI

Peter Andrija Nigrovic, MD

  • Rheumatology Physician
  • Boston, MA
National Provider Identifier
1154388528
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
155108 Issued in MA
Practice address
One Jimmy Fund Way
Rheumatology Div Smith BLDG Room 516C
Boston, MA 02115
Phone
(617) 525-1031
Fax
(617) 525-1010
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 155108 MA Primary
Pediatric Rheumatology Physician 2080P0216X 155108 MA

Addresses

Primary practice location

One Jimmy Fund Way
Rheumatology Div Smith BLDG Room 516C
Boston, MA 02115

Mailing address

111 Cypress St
Brookline, MA 02445-6002
Phone (857) 307-0896

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
I20040727001467 MA Practitioner - Pediatric MedicinePractitioner - Rheumatology 2062482193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Rheumatology
Education
Harvard Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Pediatric Associates, Inc Pediatric Rheumatology CurrentSince May 8, 2012 Accepting new patients
Brigham & Womens Physicians Organization Inc Rheumatology CurrentSince May 30, 2015 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

75 Francis St
#360U2
Boston, MA 02115

75 Francis St
Boston, MA 02115

300 Longwood Ave
#6
Boston, MA 02115
Phone (617) 355-6117

300 Longwood Ave
Ofc
Boston, MA 02115
Phone (617) 355-8083

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

111 Cypress St
Brookline, MA 02445
Phone (617) 582-1200

Interoperability endpoints

  • Direct secure messaging: pnigrovic26055@direct.bostonchildrens.org
  • Direct secure messaging: nigrovic.peter.bwh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1154388528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CYPRESS ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456002",
            "telephone_number": "857-307-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE JIMMY FUND WAY",
            "address_2": "RHEUMATOLOGY DIV SMITH BLDG ROOM 516C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-525-1031",
            "fax_number": "617-525-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGROVIC",
        "first_name": "PETER",
        "middle_name": "ANDRIJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "155108",
            "primary": true
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "MA",
            "license": "155108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.