Active NPI
Juan Carlos Nunez Medina, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 268462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
Hospital & facility affiliations
- Trilogy Home Healthcare
- All Services Home Health Agency Inc
- Cleveland Clinic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0012235 | VT | MD | Internal Medicine Physician |
| 268462 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | 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.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Weston, FL
- NPI 1659945038
-
- Home Health Agency
- Coral Springs, FL
- NPI 1417021866
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.