Active NPI
Larry Culpepper, M.D.
- Family Medicine Physician
- Boston, MA
National Provider Identifier
1225001076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 154224
- Practice address
- 850 Harrison Ave
Yawkey 2
Boston, MA 02118-4072 - Phone
- (617) 414-2080
- Fax
- (617) 414-2090
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 154224 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave
Yawkey 2
Boston, MA 02118-4072
Mailing address
771 Albany St
Dowling 5 South
Boston, MA 02118-2525
Phone (617) 414-4465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3174557 | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University Family Medicine, Inc. | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Boston, MA
- NPI 1134166390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1225001076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 ALBANY ST",
"address_2": "DOWLING 5 SOUTH",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182525",
"telephone_number": "617-414-4465",
"fax_number": "617-414-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "YAWKEY 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184072",
"telephone_number": "617-414-2080",
"fax_number": "617-414-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULPEPPER",
"first_name": "LARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "154224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3174557",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.