Individual provider Active NPI

Ashok N. Nimgade, MD, MPH, MS, SM

  • Physical Medicine & Rehabilitation Physician
  • Brookline, MA
National Provider Identifier
1154392108
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
154378 Issued in MA
Practice address
101 Summit Ave
Brookline, MA 02446-2305
Phone
(617) 875-2946
NPI assigned
Jan 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 154378 MA Primary

Addresses

Primary practice location

101 Summit Ave
Brookline, MA 02446-2305

Mailing address

101 Summit Ave
Brookline, MA 02446-2305
Phone (617) 875-2946

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
I20050713000778 MA Practitioner - Physical Medicine and Rehabilitation 0749216471 Reassigns benefits to 1 organization
Practice locations: Belmont, MA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154378MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc Physical Medicine & Rehabilitation CurrentSince Nov 1, 2005 Accepting new patients
The McLean Hospital Corporation Past Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1154392108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUMMIT AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462305",
            "telephone_number": "617-875-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUMMIT AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462305",
            "telephone_number": "617-875-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMGADE",
        "first_name": "ASHOK",
        "middle_name": "N.",
        "credential": "MD, MPH, MS, SM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "154378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.