Active NPI
Bid-Milton Physician Associates Inc
- Urgent Care Clinic/Center
- Quincy, MA
National Provider Identifier
1164060778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BID-MILTON PHYSICIAN ASSOCIATES INC
- Practice address
- 100 Walter J. Hannon Pkwy
Quincy, MA 02169 - Phone
- (617) 615-9562
- NPI assigned
- Dec 13, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Multi-Specialty Clinic/Center
- Quincy, MA
- NPI 1710862420
O20200909000678
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2193727 | Beth Israel Lahey Health Primary Care | Certificate of waiver | Sep 23, 2026 |
| 22D2194223 | Beth Israel Lahey Health Urgent Care | Compliance | Aug 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
100 Walter J Hannon Pkwy
Quincy, MA 02169
Phone (617) 615-4000
100 Walter J Hannon Pkwy
Ste 143
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.
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.