NPIMap

Individual provider Active NPI

Alla R Sarkisyan, MD

  • Internal Medicine Physician
  • Groton, MA
National Provider Identifier
1326037508
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2084666 Issued in MA
Practice address
497 Main Street
4B
Groton, MA 01450
Phone
(978) 449-0471
Fax
(978) 784-9982
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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 2084666 MA Primary

Addresses

Primary practice location

497 Main Street
4B
Groton, MA 01450

Mailing address

200 Groton Road
Nashoba Valley Healthcare Group
Ayer, MA 01432
Phone (978) 784-9000

Other identifiers 3

IdentifierTypeStateIssuer
MX7048OtherMAPTAN
MX7054OtherMAPTAN 41
0142051MedicaidMA

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
I20040114000045 MA Practitioner - Internal Medicine 8628979622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

497 Main St
4B
Groton, MA 01450-1298
Phone (978) 449-0471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2084666MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 1, 2011 Accepting new patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Jan 18, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2011 Accepting new patients
Nashoba Valley Healthcare Group Inc Internal Medicine Past Accepting new patients
Stewart and Stewart a Medical Corporation Internal Medicine Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

497 Main St
Ste 48
Groton, MA 01450

497 Main St
#4B
Groton, MA 01450
Phone (797) 784-9975

497 Main St
Ste 4B
Groton, MA 01450
Phone (978) 784-9975

697 Massachusetts Ave
Lunenburg, MA 01462
Phone (978) 582-4587

324 Massachusetts Ave
Lunenburg, MA 01462
Phone (978) 582-4587

18 Main St
Ste 104
Townsend, MA 01469
Phone (978) 597-9091

Interoperability endpoints

  • Direct secure messaging: alla.sarkisyan.1@32866.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4

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 8

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1326037508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROTON ROAD",
            "address_2": "NASHOBA VALLEY HEALTHCARE GROUP",
            "city": "AYER",
            "state": "MA",
            "postal_code": "01432",
            "telephone_number": "978-784-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MAIN STREET",
            "address_2": "4B",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "01450",
            "telephone_number": "978-449-0471",
            "fax_number": "978-784-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKISYAN",
        "first_name": "ALLA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "2084666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MX7048",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN 41",
            "identifier": "MX7054",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142051",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.