Individual provider Active NPI

Roberto Elias Madara Caganda Jr., M.D.

  • Family Medicine Physician
  • Chelsea, MA
National Provider Identifier
1174649750
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
238012 Issued in MA
Practice address
151 Everett Ave
MGH Chelsea Health Center - Urgent Care
Chelsea, MA 02150-1812
Phone
(617) 884-8302
Fax
(617) 887-3704
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7-0003033 DE
Family Medicine Physician 207Q00000X 036119315 IL
Family Medicine Physician 207Q00000X 238012 MA Primary

Addresses

Primary practice location

151 Everett Ave
MGH Chelsea Health Center - Urgent Care
Chelsea, MA 02150-1812

Mailing address

151 Everett Ave
MGH Chelsea Health Center - Urgent Care
Chelsea, MA 02150-1812
Phone (617) 884-8302

Other names 1

  • Dr. Roel Madara Caganda Other name

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
I20090122000086 MA Practitioner - Internal MedicinePractitioner - Family Practice 2062509649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

100 Everett Ave
Chelsea, MA 02150-2309
Phone (617) 887-4600

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0003033DEMDFamily Medicine Physician
036119315ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Sep 15, 2011 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 15, 2011 Accepting new patients
General Hospital Corp Current Accepting new patients

Locations

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

55 Fruit St
Boston, MA 02114

151 Everett Ave
Chelsea, MA 02150
Phone (617) 884-8300

Interoperability endpoints

  • Direct secure messaging: caganda.roberto.mgh@direct.partners.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1174649750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 EVERETT AVE",
            "address_2": "MGH CHELSEA HEALTH CENTER - URGENT CARE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501812",
            "telephone_number": "617-884-8302",
            "fax_number": "617-887-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EVERETT AVE",
            "address_2": "MGH CHELSEA HEALTH CENTER - URGENT CARE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501812",
            "telephone_number": "617-884-8302",
            "fax_number": "617-887-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGANDA",
        "first_name": "ROBERTO ELIAS",
        "middle_name": "MADARA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C7-0003033",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119315",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "238012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROEL",
            "last_name": "CAGANDA",
            "middle_name": "MADARA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.