Individual provider Active NPI

Carol Hartigan, MD

  • Physical Medicine & Rehabilitation Physician
  • Roxbury Crossing, MA
National Provider Identifier
1265411433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
73726 Issued in MA
Practice address
125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847
Phone
(617) 754-5800
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 73726 MA Primary

Addresses

Primary practice location

125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847

Mailing address

91 Stiles Rd
Attn Sharon Silva
Salem, NH 03079-2846
Phone (800) 927-0002

Other identifiers 1

IdentifierTypeStateIssuer
3076725MedicaidMA

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
I20040806000921 MA Practitioner - Physical Medicine and Rehabilitation 8426020835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Virginia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New England Baptist Medical Associates, Inc.Group PAC ID 2365439783, 77 clinicians

Practice addresses (Care Compare)

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New England Baptist Medical Associates, Inc. Physical Medicine & Rehabilitation CurrentSince Jan 1, 2004 Accepting new patients
James V. Bono, MD, PC Past Accepting new patients
Thomas a. Lamattina MD PC Past Accepting new patients

Locations

830 Boylston St
Ste 106
Chestnut Hill, MA 02467
Phone (617) 277-1205

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

125 Parker Hill Ave
#4
Roxbury Xing, MA 02120
Phone (617) 754-5470

Interoperability endpoints

  • Direct secure messaging: chartigan253601@direct.bilh.masshiway.net

Organizations & group practices 3

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265411433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 STILES RD",
            "address_2": "ATTN SHARON SILVA",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792846",
            "telephone_number": "800-927-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIGAN",
        "first_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "73726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076725",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury Crossing, MA

Sources for this page

Verify at the official NPI Registry.