Individual provider Active NPI

Juan Carlos Nunez Medina, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1265750970
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
268462 Issued in MA
Practice address
165 Cambridge St
Boston, MA 02114-2783
Phone
(617) 426-4600
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0012235 VT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 268462 MA Primary

Addresses

Primary practice location

165 Cambridge St
Boston, MA 02114-2783

Mailing address

165 Cambridge St FL 5
Boston, MA 02114-2759
Phone (617) 726-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161021000365 MA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8224209630 Reassigns benefits to 2 organizations
I20210602002764 FL Practitioner - Geriatric Medicine 8224209630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061
  • All Services Home Health Agency Inc Home health agency, Fort Lauderdale, FL, CCN 687165
  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0012235VTMDInternal Medicine Physician
268462MAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Sep 1, 2016 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jul 12, 2021 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

3250 Meridian Pkwy
Weston, FL 33331
Phone (954) 562-7524

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

165 Cambridge St
Boston, MA 02114
Phone (617) 726-4600

165 Cambridge St
Fl 5
Boston, MA 02114
Phone (617) 726-4600

55 Fruit St
Boston, MA 02114

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

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1265750970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CAMBRIDGE ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142759",
            "telephone_number": "617-726-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142783",
            "telephone_number": "617-426-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ MEDINA",
        "first_name": "JUAN CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0012235",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "268462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.