Individual provider Active NPI

Paul L Hart, MD

  • Family Medicine Physician
  • Natick, MA
National Provider Identifier
1225011638
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42063 Issued in MA
Practice address
945 Worcester St
Natick, MA 01760-2032
Phone
(508) 650-6208
NPI assigned
Nov 21, 2005
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42063 MA Primary

Addresses

Primary practice location

945 Worcester St
Natick, MA 01760-2032

Mailing address

121 Carriage Hill Cir
Southborough, MA 01772-1342
Phone (508) 481-2722

Other practice location 1

121 Carriage Hill Cir
Southborough, MA 01772-1342
Phone (508) 481-2722

Other identifiers 1

IdentifierTypeStateIssuer
2059703MedicaidMA

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
I20050917000114 MA Practitioner - Family PracticePractitioner - Internal Medicine 1759342082 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42063MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts, PC CurrentSince May 3, 2014 Accepting new patients
Saint Vincent Physician Services, Inc. Family Medicine PastSince Aug 17, 2010 Accepting new patients
Sterling Medical Group PC Family Medicine Past Accepting new patients
Heywood Medical Group Inc. Family Medicine Past Accepting new patients

Locations

219 Centre St
Malden, MA 02148
Phone (781) 322-7300

945 Worcester St
Natick, MA 01760
Phone (508) 650-6208

Organizations & group practices 4

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1225011638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CARRIAGE HILL CIR",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721342",
            "telephone_number": "508-481-2722",
            "fax_number": "508-481-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602032",
            "telephone_number": "508-650-6208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Carriage Hill Cir",
            "address_purpose": "LOCATION",
            "city": "Southborough",
            "state": "MA",
            "postal_code": "017721342",
            "country_code": "US",
            "telephone_number": "508-481-2722",
            "fax_number": "508-481-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "42063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059703",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.