NPIMap

Individual provider Active NPI

Jose Roberto Flores Cardillo, MD

  • Internal Medicine Physician
  • Marlborough, MA
National Provider Identifier
1295796423
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81513 Issued in MA
Practice address
246 Maple St Ste 3
Marlborough, MA 01752-3235
Phone
(508) 787-3482
Fax
(508) 485-5298
NPI assigned
Mar 29, 2006
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 81513 MA Primary

Addresses

Primary practice location

246 Maple St Ste 3
Marlborough, MA 01752-3235

Mailing address

171 Main St
Ashland, MA 01721-1187
Phone (508) 881-3029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address flores-cardillo.jose.crm@direct.partners.masshiway.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000029 MA Practitioner - Internal Medicine 2668456807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

246 Maple St
Marlborough, MA 01752-3235
Phone (508) 460-3872

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151100MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Charles River Medical Associates, PC Past Accepting new patients
Ernesto Y Jose, M.D.P.C. Past Accepting new patients

Locations

571 Union Ave
Framingham, MA 01702
Phone (508) 879-8556

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

246 Maple St
Marlborough, MA 01752
Phone (508) 460-3872

246 Maple St
Ste 3
Marlborough, MA 01752
Phone (508) 787-3482

Interoperability endpoints

  • Direct secure messaging: flores-cardillo.jose.crm@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1295796423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MAPLE ST STE 3",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523235",
            "telephone_number": "508-787-3482",
            "fax_number": "508-485-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES CARDILLO",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flores-cardillo.jose.crm@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "246 Maple St Ste 3",
            "city": "Marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017523235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.