Individual provider Active NPI

Andrew Steven Nakrin, M.D.

  • Anesthesiology Physician
  • Jamaica Plain, MA
National Provider Identifier
1275598922
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
210588 Issued in MA
Practice address
49 Robinwood Ave
Arbour Hospital
Jamaica Plain, MA 02130-2156
Phone
(617) 522-4400
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 210588 MA Primary

Addresses

Primary practice location

49 Robinwood Ave
Arbour Hospital
Jamaica Plain, MA 02130-2156

Mailing address

246 Walnut St
Suite 104 - SBSC Inc.
Newtonville, MA 02460-1689
Phone (617) 244-3322

Other identifiers 1

IdentifierTypeStateIssuer
0149781MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Anesthesia Assoc Anesthesiology Past Accepting new patients
Boston Medical Group, PC Past Accepting new patients
Steward Medical Group, Inc. Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1275598922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WALNUT ST",
            "address_2": "SUITE 104 - SBSC INC.",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601689",
            "telephone_number": "617-244-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ROBINWOOD AVE",
            "address_2": "ARBOUR HOSPITAL",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302156",
            "telephone_number": "617-522-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKRIN",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "210588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149781",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.