Organization Active NPI

Suburban Cardiology and Internal Medicine PC

  • Internal Medicine Physician
  • Natick, MA
National Provider Identifier
1285645291
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUBURBAN CARDIOLOGY AND INTERNAL MEDICINE PC
Practice address
190 N Main St
Natick, MA 01760
Phone
(508) 647-1600
Fax
(508) 647-1695
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Aurobindo Chakraborty, MDNPI 1912027582
Title
Facc
Phone
(508) 647-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

190 N Main St
Natick, MA 01760

Mailing address

190 N Main St
Natick, MA 01760
Phone (508) 647-1600

Other identifiers 1

IdentifierTypeStateIssuer
9773894MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000229 MA Part B Supplier - Clinic/Group Practice 1951437581 Receives reassigned benefits from 1 practitioner
Practice locations: Natick, MA

National Provider Directory

National Provider Directory
Tax ID family
Suburban Cardiology and Internal Medicine PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

190 N Main St
Natick, MA 01760
Phone (508) 647-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1285645291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-647-1600",
            "fax_number": "508-647-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-647-1600",
            "fax_number": "508-647-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CARDIOLOGY AND INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "CHAKRABORTY",
        "authorized_official_first_name": "AUROBINDO",
        "authorized_official_title_or_position": "FACC",
        "authorized_official_telephone_number": "508-647-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9773894",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.