Individual provider Active NPI

Maryam Salehpour, M.D

  • Family Medicine Physician
  • Burlington, MA
National Provider Identifier
1265877120
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
259124 Issued in MA
Practice address
131 Cambridge St Ste 1
Burlington, MA 01803-3711
Phone
(781) 265-2572
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 259124 MA Primary

Addresses

Primary practice location

131 Cambridge St Ste 1
Burlington, MA 01803-3711

Mailing address

131 Cambridge St Ste 1
Burlington, MA 01803-3711
Phone (781) 265-2572

Other practice location 1

43 Foundry Ave
Waltham, MA 02453-8313
Phone (781) 693-3800

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
I20141216001189 MA Practitioner - Family Practice 6608199039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

131 Cambridge St
Suite 1
Burlington, MA 01803-3711
Phone (781) 265-2572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259124MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Health & Wellness LLC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Charles River Community Health Inc Single Specialty Current Accepting new patients

Locations

495 Western Ave
Brighton, MA 02135

131 Cambridge St
Ste 1
Burlington, MA 01803
Phone (781) 229-2220

564 Main St
Waltham, MA 02452
Phone (781) 693-3800

43 Foundry Ave
Ste 110
Waltham, MA 02453
Phone (781) 693-3800

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1265877120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CAMBRIDGE ST STE 1",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033711",
            "telephone_number": "781-265-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CAMBRIDGE ST STE 1",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033711",
            "telephone_number": "781-265-2572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Foundry Ave",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024538313",
            "country_code": "US",
            "telephone_number": "781-693-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEHPOUR",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "259124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.