Individual provider Active NPI

Mark Howard Abensohn, M.D.

  • Internal Medicine Physician
  • Medfield, MA
National Provider Identifier
1225005465
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56322 Issued in MA
Practice address
266 Main St
Unit 4
Medfield, MA 02052-2018
Phone
(508) 359-8141
Fax
(508) 359-8005
NPI assigned
Mar 7, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 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 56322 MA Primary

Addresses

Primary practice location

266 Main St
Unit 4
Medfield, MA 02052-2018

Mailing address

266 Main St
P.O. Box 469
Medfield, MA 02052-2018
Phone (508) 359-8141

Other identifiers 1

IdentifierTypeStateIssuer
2089726MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medfield Internal Medicine, PLLC Internal Medicine CurrentSince Jun 9, 2024 Accepting new patients

Locations

266 Main St
Ste 4
Medfield, MA 02052
Phone (508) 359-4364

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1225005465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "address_2": "P.O. BOX 469",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522018",
            "telephone_number": "508-359-8141",
            "fax_number": "508-359-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "address_2": "UNIT 4",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522018",
            "telephone_number": "508-359-8141",
            "fax_number": "508-359-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENSOHN",
        "first_name": "MARK",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "56322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089726",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

Verify at the official NPI Registry.