Individual provider Active NPI

Scott Moody, PA

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1285407221
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(207) 749-1182
NPI assigned
Nov 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

7 Wheeler St
Somerville, MA 02145-3553

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123004616 MA Practitioner - Physician Assistant 9739531997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX UC Watertown PCGroup PAC ID 3476790163, 12 clinicians

Practice addresses (Care Compare)

1398 Massachusetts Ave
Arlington, MA 02476-4150
Phone (781) 648-4572

1400 Cambridge St
Cambridge, MA 02139-1105
Phone (617) 714-4534

376 Arsenal St
Watertown, MA 02472-2892
Phone (617) 923-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Nov 15, 2025 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Nov 15, 2025 Accepting new patients
DRX UC Watertown PC CurrentSince Dec 23, 2024 Accepting new patients
Carewell Urgent Care Centers of Ma, P.C Current Accepting new patients

Locations

1400 Cambridge St
Cambridge, MA 02139
Phone (617) 714-4534

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

345 Main St
Tewksbury, MA 01876
Phone (978) 851-4683

376 Arsenal St
Watertown, MA 02472
Phone (617) 923-2273

Organizations & group practices 5

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 1

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": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1285407221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WHEELER ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "207-749-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.