Organization Active NPI

Magnum Health Care LLC

  • Primary Care Clinic/Center
  • Bedford, MA
National Provider Identifier
1245051721
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MAGNUM HEALTH CARE LLC
Doing business as
Boston Geriatrics
Practice address
100 Old Billerica Rd
Bedford, MA 01730-1267
Phone
(617) 834-9741
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Ashmeet BhatiaNPI 1205130507
Title
MD
Phone
(617) 834-9741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

100 Old Billerica Rd
Bedford, MA 01730-1267

Mailing address

31 Pine St
Weston, MA 02493-1115
Phone (617) 834-9741

Other names 1

  • Boston Geriatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250211003279 MA Part B Supplier - Clinic/Group Practice 6901336536 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, MA; Weston, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1245051721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE ST",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931115",
            "telephone_number": "617-834-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD BILLERICA RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301267",
            "telephone_number": "617-834-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUM HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "ASHMEET",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "617-834-9741"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Geriatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.