Individual provider Active NPI

Songprod Lorgunpai, M.D.

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1225423015
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
278931 Issued in MA
Practice address
725 Concord Ave Ste 6100
Cambridge, MA 02138-1040
Phone
(617) 864-8822
Fax
(617) 547-5367
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 278931 MA
Internal Medicine Physician 207R00000X 278931 MA Primary

Addresses

Primary practice location

725 Concord Ave Ste 6100
Cambridge, MA 02138-1040

Mailing address

725 Concord Ave Ste 6100
Cambridge, MA 02138-1040
Phone (617) 864-8822

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
I20190703001696 MA Practitioner - Geriatric Medicine 7012224421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

300 Mount Auburn St
Cambridge, MA 02138-5600
Phone (617) 499-5055

330 Mount Auburn St
Cambridge, MA 02138-5502

57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500

725 Concord Ave
Suite 6100
Cambridge, MA 02138-1040
Phone (617) 864-8822

Hospital & facility affiliations

  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • All Care Vna-Greater Lynn Inc Home health agency, Lynn, MA, CCN 227263
  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Beth Israel Lahey Health at Home Hospice, Danvers, MA, CCN 221541
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
  • Good Shepherd Community Care Hospice, Newton, MA, CCN 221500
  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278931MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mt Auburn Professional Services Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

300 Mount Auburn St
Ste 517
Cambridge, MA 02138
Phone (617) 666-6140

725 Concord Ave
Ste 6100
Cambridge, MA 02138
Phone (617) 864-8822

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: slorgunpai155551@direct.bilh.masshiway.net

Organizations & group practices 3

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1225423015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 6100",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-864-8822",
            "fax_number": "617-547-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 6100",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-864-8822",
            "fax_number": "617-547-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORGUNPAI",
        "first_name": "SONGPROD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "278931",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "278931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.