Individual provider Active NPI

Eric Lott, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1164809091
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58177 Issued in AZ
Practice address
55 Fruit St
Boston, MA 02114
Phone
(617) 726-2000
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 277569 MA
Internal Medicine Physician 207R00000X 58177 AZ Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114

Mailing address

55 Fruit St
Boston, MA 02114-2696

Other practice location 1

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277569MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Jun 4, 2024 Accepting new patients
Community Bridges, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Community Bridges, Inc. CurrentSince Jun 1, 2019 Accepting new patients

Locations

1012 S Stapley Dr
Ste 117
Mesa, AZ 85204
Phone (480) 768-6022

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

1012 S Stapley Dr
Bldg 5
Mesa, AZ 85204
Phone (480) 768-6022

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

35 K St NE
Washington, DC 20002
Phone (202) 442-4202

Interoperability endpoints

  • Direct secure messaging: elott264217@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1164809091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084973",
            "country_code": "US",
            "telephone_number": "602-344-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTT",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "277569",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "58177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.