Active NPI
Mark F Conrad, MD
- Surgery Physician
- Methuen, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 220028
- Practice address
- 60 East St
Suite 1400
Methuen, MA 01844 - Phone
- (617) 202-6001
- Fax
- (978) 722-7972
- NPI assigned
- Feb 17, 2006
- Last updated
- Mar 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 220028 | MA | Primary |
Addresses
Primary practice location
60 East St
Suite 1400
Methuen, MA 01844
Mailing address
960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690
Other practice location 1
55 Fruit St
WAC 458, Massachusetts General Hospital
Boston, MA 02114
Phone (617) 726-8278
Other practice location 2
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3180
Other practice location 3
736 Cambridge St
8th FL
Brighton, MA 02135
Phone (617) 789-3309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110041961A | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Michigan Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Nevins St
Brighton, MA 02135-3514
Phone (617) 779-6700
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
77 Warren St
Brighton, MA 02135-3601
Phone (617) 562-5525
Hospital & facility affiliations
- Boston Medical Center-Brighton
- Holy Family Hospital
- Merrimack Health Lawrence Hospital
- Good Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 25 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220028 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMC Affiliated Physicians, Inc. | Surgery | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Surgery | Current | Accepting new patients |
| Boston Medical Center - Brighton Corporation | Past | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
15 Parkman St
Boston, MA 02114
Phone (617) 726-3023
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
55 Fruit St
#458
Boston, MA 02114
Phone (617) 726-8278
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Fl 8
Brighton, MA 02135
Phone (617) 789-3309
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
60 East St
Ste 1400
Methuen, MA 01844
Phone (978) 689-0869
Interoperability endpoints
- mconrad252215@direct.bmc.masshiway.net
- mark.conrad.1@2017.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
dba Boston Medical Center - Brighton
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boston Medical Center - Brighton
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
dba Boston Medical Center - South
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
dba Merrimack Health Methuen Hospital
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1306810007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVENUE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 EAST ST",
"address_2": "SUITE 1400",
"city": "METHUEN",
"state": "MA",
"postal_code": "01844",
"telephone_number": "617-202-6001",
"fax_number": "978-722-7972"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_2": "WAC 458, Massachusetts General Hospital",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02114",
"country_code": "US",
"telephone_number": "617-726-8278",
"fax_number": "617-726-8700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 N Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023011794",
"country_code": "US",
"telephone_number": "508-427-3180",
"fax_number": "508-427-2209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Cambridge St",
"address_2": "8th FL",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-789-3309",
"fax_number": "617-779-6786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONRAD",
"first_name": "MARK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "220028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110041961A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.