Individual provider Active NPI

Mark Robert Drews, MD

  • Internal Medicine Physician
  • Waltham, MA
National Provider Identifier
1184693616
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
73118 Issued in MA
Practice address
564 Main St
Waltham, MA 02452-5516
Phone
(781) 693-3800
Fax
(781) 693-5514
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 73118 MA Primary

Addresses

Primary practice location

564 Main St
Waltham, MA 02452-5516

Mailing address

495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500

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
I20050428000288 MA Practitioner - Internal Medicine 8729027834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

43 Foundry Ave
Suite 110
Waltham, MA 02453-8313
Phone (781) 693-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28600COMDSpecialist
73118MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Community Health, Inc CurrentSince Feb 24, 2014 Accepting new patients
Charles River Community Health Inc CurrentSince Feb 24, 2014 Accepting new patients

Locations

495 Western Ave
Brighton, MA 02135

564 Main St
Waltham, MA 02452
Phone (781) 693-3800

43 Foundry Ave
Ste 110
Waltham, MA 02453
Phone (781) 693-3800

Interoperability endpoints

  • Direct secure messaging: mdrews19144@direct.ctc.masshiway.net

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.

Hospital & facility affiliations 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1184693616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WESTERN AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351007",
            "telephone_number": "617-783-0500",
            "fax_number": "617-987-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525516",
            "telephone_number": "781-693-3800",
            "fax_number": "781-693-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWS",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.