Individual provider Active NPI

Melissa Roether Piech, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Concord, MA
National Provider Identifier
1326240730
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
250298 Issued in MA
Practice address
131 Old Road to Nine Acre Corner
John Cuming Building, Suite 770
Concord, MA 01742
Phone
(978) 287-8520
NPI assigned
Jun 5, 2007
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP01212 RI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 250298 MA Primary

Addresses

Primary practice location

131 Old Road to Nine Acre Corner
John Cuming Building, Suite 770
Concord, MA 01742

Mailing address

131 Old Road to Nine Acre Corner
John Cuming Building, Suite 770
Concord, MA 01742
Phone (978) 287-8520

Other identifiers 1

IdentifierTypeStateIssuer
110092397AMedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000412 MA Practitioner - Endocrinology 1355597584 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP01212RIMDInternal Medicine Physician
250298MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc Internal Medicine Current Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine CurrentSince Sep 9, 2019 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

131 Ornac
Ste 770
Concord, MA 01742
Phone (978) 287-8520

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1326240730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER",
            "address_2": "JOHN CUMING BUILDING, SUITE 770",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-287-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER",
            "address_2": "JOHN CUMING BUILDING, SUITE 770",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-287-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECH",
        "first_name": "MELISSA",
        "middle_name": "ROETHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP01212",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "250298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092397A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.