Individual provider Active NPI

Shusmita Dhar, MD

  • Internal Medicine Physician
  • Newton, MA
National Provider Identifier
1255467965
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233935 Issued in MA
Practice address
300 Needham St Ste 1B
Newton, MA 02464-1572
Phone
(617) 903-5000
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 233935 MA
Internal Medicine Physician 207R00000X 233935 MA Primary

Addresses

Primary practice location

300 Needham St Ste 1B
Newton, MA 02464-1572

Mailing address

454 Broadway
Suite 100
Revere, MA 02151-3034
Phone (781) 485-8222

Other practice location 1

454 Broadway
Suite 100
Revere, MA 02151-3034
Phone (781) 485-8222

Other practice location 2

28 State St Ste 2860
Boston, MA 02109-1789
Phone (617) 903-5000

Other identifiers 1

IdentifierTypeStateIssuer
110080127AMedicaidMA

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
I20080920000042 MA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 1658448469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

53 State St
Suite 106
Boston, MA 02109-2820
Phone (617) 903-5000

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233935MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Dec 1, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jan 1, 2020 Accepting new patients
Mass General Brigham Community Physicians Inc. Internal Medicine Current Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

28 State St
Ste 2860
Boston, MA 02109

75 Francis St
Boston, MA 02115

53 State St
Ste 106
Boston, MA 02109

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

300 Needham St
Ste 1B
Newton, MA 02464
Phone (860) 751-4339

300 Ocean Ave
Revere, MA 02151
Phone (781) 485-6000

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

Organizations & group practices 6

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 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1255467965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 BROADWAY",
            "address_2": "SUITE 100",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513034",
            "telephone_number": "781-485-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEEDHAM ST STE 1B",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641572",
            "telephone_number": "617-903-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 Broadway",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "021513034",
            "country_code": "US",
            "telephone_number": "781-485-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 State St Ste 2860",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091789",
            "country_code": "US",
            "telephone_number": "617-903-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHAR",
        "first_name": "SHUSMITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "233935",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "233935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110080127A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.