NPIMap

Organization Active NPI

Bid-Milton Physician Associates Inc

Doing business as Beth Israel Lahey Health Urgent Care

  • Urgent Care Clinic/Center
  • Quincy, MA
National Provider Identifier
1164060778
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BID-MILTON PHYSICIAN ASSOCIATES INC
Doing business as
Beth Israel Lahey Health Urgent Care
Practice address
100 Walter J. Hannon Pkwy
Quincy, MA 02169
Phone
(617) 615-9562
NPI assigned
Dec 13, 2019
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Sheilah Rangaviz
Title
Cfo
Phone
(617) 313-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

100 Walter J. Hannon Pkwy
Quincy, MA 02169

Mailing address

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 615-9562

Other names 1

  • Beth Israel Lahey Health Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909000678 MA Part B Supplier - Clinic/Group Practice 7416375399 Receives reassigned benefits from 181 practitioners
2 other NPIs on this enrollment
Practice locations: Quincy, MA; Milton, MA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2193727Beth Israel Lahey Health Primary Care100 Walter J Hannon Parkway, Quincy, MA 02169Certificate of waiverSep 23, 2026
22D2194223Beth Israel Lahey Health Urgent Care100 Walter J Hannon Parkway, Quincy, MA 02169ComplianceAug 5, 2027

National Provider Directory

National Provider Directory

Locations

100 Walter J Hannon Pkwy
Quincy, MA 02169
Phone (617) 615-4000

Practitioners & affiliated clinicians

Practitioners 183

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 183

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1164060778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863926",
            "telephone_number": "617-615-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTER J. HANNON PKWY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-615-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BID-MILTON PHYSICIAN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "RANGAVIZ",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-313-1350"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Israel Lahey Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.