Active NPI
Robert D Tufts Jr., M.D.
- Internal Medicine Physician
- Danvers, MA
National Provider Identifier
1194774315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46971
- Practice address
- 480 Maple St
Danvers, MA 01923-4065 - Phone
- (978) 921-1717
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46971 | MA | Primary |
Addresses
Primary practice location
480 Maple St
Danvers, MA 01923-4065
Mailing address
35 United Dr Ste 102
West Bridgewater, MA 02379-1056
Phone (508) 238-8646
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006085 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 32030 | Other | MA | FALLON HEALTH PLAN |
| 6175376 | Medicaid | MA | |
| 62678 | Other | MA | HARVARD PILGRIM HEALTH |
| J02897 | Other | MA | BLUE SHIELD |
| 046971 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1194774315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 UNITED DR STE 102",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791056",
"telephone_number": "508-238-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 MAPLE ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234065",
"telephone_number": "978-921-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUFTS",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "46971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0006085",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "32030",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6175376",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "62678",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J02897",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "046971",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.