Active NPI
Sameer Gaonkar, MD
- Internal Medicine Physician
- Medford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 212835
- Practice address
- 101 Main St Ste 116
Medford, MA 02155-4530 - Phone
- (781) 620-4894
- Fax
- (781) 395-0759
- NPI assigned
- Nov 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 212835 | MA | |
| Internal Medicine Physician | 207R00000X | 212835 | MA | Primary |
Addresses
Primary practice location
101 Main St Ste 116
Medford, MA 02155-4530
Mailing address
101 Main St Ste 116
Medford, MA 02155-4530
Phone (781) 620-4894
Other practice location 1
103 Garland St
Everett, MA 02149-5066
Phone (617) 381-7150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Dodge St
Suite 104
Beverly, MA 01915-1765
Phone (978) 922-2171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212835 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Operations, PC | Current | Accepting new patients | |
| Urgent Care Operations PC | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Internal Medicine | Current | Accepting new patients |
| Cambridge Public Health Commission | Past | Accepting new patients | |
| St. Anthony Home Medical Equipment | Past | Accepting new patients |
Locations
50 Dodge St
Ste 104
Beverly, MA 01915
Phone (978) 922-2171
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
480 Maple St
Danvers, MA 01923
Phone (978) 304-8380
129 Turnpike St
North Andover, MA 01845
Phone (978) 470-0800
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Beverly, MA
- NPI 1417311309
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Urgent Care Clinic/Center
- Haverhill, MA
- NPI 1396434049
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Durable Medical Equipment & Medical Supplies
- Michigan City, IN
- NPI 1437258217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1245305325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MAIN ST STE 116",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554530",
"telephone_number": "781-620-4894",
"fax_number": "781-395-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MAIN ST STE 116",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554530",
"telephone_number": "781-620-4894",
"fax_number": "781-395-0759"
}
],
"practiceLocations": [
{
"address_1": "103 Garland St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "MA",
"postal_code": "021495066",
"country_code": "US",
"telephone_number": "617-381-7150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAONKAR",
"first_name": "SAMEER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "212835",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "212835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.