NPIMap

Organization Active NPI

Cambridge Public Health Commission

  • Clinic/Center
  • Cambridge, MA
National Provider Identifier
1306908405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAMBRIDGE PUBLIC HEALTH COMMISSION
Practice address
1493 Cambridge St
Cambridge, MA 02139-1047
Phone
(617) 665-1000
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dennis D Keefe
Title
Ceo
Phone
(617) 665-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1493 Cambridge St
Cambridge, MA 02139-1047

Mailing address

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

Other identifiers 1

IdentifierTypeStateIssuer
1211978MedicaidMA

Other names 1

  • Cambridge Health Alliance Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040121000364 MA Part B Supplier - Clinic/Group Practice 8921910894 Receives reassigned benefits from 353 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cambridge, MA; Everett, MA; Somerville, MA
O20080218000159 MA Part A Provider - Hospital 8921910894 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Medford, MA; Somerville, MA; Revere, MA; Malden, MA; Everett, MA; Cambridge, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306908405. Details of each certification follow.

Hospital certification: CCN 220011

Legal name
CAMBRIDGE PUBLIC HEALTH COMMISSION
Doing business as
CAMBRIDGE HEALTH ALLIANCE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 26, 1993
Beds
159
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Incorporated
in MA
Enrollment address
Cambridge Health Alliance
1493 Cambridge St
Cambridge, MA 21391047
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cambridge Health AllianceCCN 220011 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
The Cambridge Health Alliance44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jill Batty Individual Corporate OfficerChief Financial Officer Feb 23, 2022
Operational/Managerial ControlChief Financial Officer Jan 6, 2014
Judy McComiskey Individual W-2 Managing EmployeeBilling Analyst Jan 1, 2016
Operational/Managerial Control Jan 1, 2016
Assaad J Sayah Individual Corporate OfficerChief Executive Officer Feb 23, 2022
Operational/Managerial ControlChief Executive Officer Feb 23, 2022
Cambridge Public Health Commission Organization, Cambridge, MA Operational/Managerial Control Jun 2, 2022 100%
Renee Kessler Individual Corporate OfficerChief Operating Officer Feb 23, 2022
Operational/Managerial ControlChief Operating Officer Feb 23, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

Affiliated clinicians 674

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 674

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306908405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE PUBLIC HEALTH COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-665-1448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211978",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Health Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.