Individual provider Active NPI

Bruce Gardner Karlin, MD

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1245311166
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43792 Issued in MA
Practice address
108 Grove St
Worcester, MA 01605-2651
Phone
(508) 453-1005
Fax
(508) 749-0295
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 43792 MA Primary

Addresses

Primary practice location

108 Grove St
Worcester, MA 01605-2651

Mailing address

200 Lincoln Street
Suite 3
Worcester, MA 01605
Phone (508) 755-1222

Other practice location 1

200 Lincoln Street
Suite 3
Worcester, MA 01605
Phone (508) 755-1222 ext. 37

Other identifiers 3

IdentifierTypeStateIssuer
J10275OtherMABLUE CROSS
3085317MedicaidMA
64275OtherMAHARVARD

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
I20081208000074 MA Practitioner - Internal Medicine 9436210572 Reassigns benefits to 1 organization
Practice locations: Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

108 Grove St
Suite 101
Worcester, MA 01605-2651
Phone (508) 453-1005

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43792MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Internal Medicine CurrentSince May 1, 2018 Accepting new patients
VHS Acquisition Subsidiary Number 7 Inc PastSince May 1, 2018 Accepting new patients

Locations

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

108 Grove St
Ste 101
Worcester, MA 01605
Phone (508) 453-1002

108 Grove St
Worcester, MA 01605
Phone (508) 753-3220

Interoperability endpoints

  • Direct secure messaging: bruce.karlin.1@626.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1245311166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LINCOLN STREET",
            "address_2": "SUITE 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-755-1222",
            "fax_number": "508-754-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052651",
            "telephone_number": "508-453-1005",
            "fax_number": "508-749-0295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lincoln Street",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01605",
            "country_code": "US",
            "telephone_number": "508-755-1222 x37",
            "fax_number": "508-754-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARLIN",
        "first_name": "BRUCE",
        "middle_name": "GARDNER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "43792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J10275",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085317",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "64275",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.