Active NPI
Concord Internal Medicine Associates, P.C.
- Internal Medicine Physician
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CONCORD INTERNAL MEDICINE ASSOCIATES, P.C.
- Practice address
- 2284 Main St
Concord, MA 01742-3829 - Phone
- (978) 369-5575
- Fax
- (978) 371-9189
- NPI assigned
- Jan 22, 2007
- Last updated
- Nov 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul D D'Ambrosio, MD
- Title
- MD
- Phone
- (978) 369-5575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
2284 Main St
Concord, MA 01742-3829
Mailing address
2284 Main St
Concord, MA 01742-3829
Phone (978) 369-5575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600583 | Other | MA | TUFTS HEALTH PLAN |
| 9778276 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0864902 | Concord Internal Medicine Associates PC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/21338/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Concord, MA
- NPI 1033194048
-
- Physician Assistant
- Boston, MA
- NPI 1346131273
-
- Physician Assistant
- Concord, MA
- NPI 1386256964
-
- Physician Assistant
- Concord, MA
- NPI 1326640186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288915200000",
"number": "1255485058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2284 MAIN ST",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423829",
"telephone_number": "978-369-5575",
"fax_number": "978-371-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2284 MAIN ST",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423829",
"telephone_number": "978-369-5575",
"fax_number": "978-371-9189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD INTERNAL MEDICINE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2010-11-05",
"status": "A",
"authorized_official_last_name": "D'AMBROSIO",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "978-369-5575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "600583",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9778276",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
- Concord Comprehensive Neuropsychological Services
- Concord Counseling Associates
- Concord Dental Care, P.C.
- Concord Ekg Associates
- Concord Insight Partners, LLC
- Concord OB/GYN Associates PC
- Concord Optical
- Concord Optical Company Inc
- Concord Orthodontics PLLC (Heart Orthodontics)
- Concord Orthopedics, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.