Individual provider Active NPI

Gracia B Perez-Lirio, M.D.

  • Internal Medicine Physician
  • Needham, MA
National Provider Identifier
1184730012
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229635 Issued in MA
Practice address
464 Hillside Avenue
Suite 302
Needham, MA 02494-1228
Phone
(781) 449-5170
Fax
(781) 449-5171
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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 229635 MA Primary

Addresses

Primary practice location

464 Hillside Avenue
Suite 302
Needham, MA 02494-1228

Mailing address

464 Hillside Avenue
Suite 302
Needham, MA 02494-1228
Phone (781) 449-5170

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
I20061011000485 MA Practitioner - Internal Medicine 8325044522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

310 Chestnut St
Needham, MA 02492-2411
Phone (617) 754-0600

333 Elm St
Dedham, MA 02026-4530

392 Chestnut St
Needham, MA 02492-2411
Phone (617) 754-0650

817 Highland Ave
Needham, MA 02494-1312
Phone (781) 449-5170

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229635MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Sep 15, 2006 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

464 Hillside Ave
Ste 302
Needham, MA 02494
Phone (781) 444-1129

817 Highland Ave
Needham Heights, MA 02494
Phone (781) 449-5170

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: gperezlirio254504@direct.bilh.masshiway.net

Organizations & group practices 1

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 6

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1184730012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVENUE",
            "address_2": "SUITE 302",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941228",
            "telephone_number": "781-449-5170",
            "fax_number": "781-449-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVENUE",
            "address_2": "SUITE 302",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941228",
            "telephone_number": "781-449-5170",
            "fax_number": "781-449-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-LIRIO",
        "first_name": "GRACIA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.