Organization Active NPI

Mdinteractive Health PLLC

  • Neurology Physician
  • Sudbury, MA
National Provider Identifier
1336076520
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MDINTERACTIVE HEALTH PLLC
Practice address
48 Pondview Rd
Sudbury, MA 01776-2542
Phone
(800) 634-4731
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Dr. Paulo Andre, MDNPI 1144334038
Title
Ceo
Phone
(800) 634-4731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

48 Pondview Rd
Sudbury, MA 01776-2542

Mailing address

48 Pondview Rd
Sudbury, MA 01776-2542
Phone (800) 634-4731

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdinteractive@mdinteractive.directmessaging.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608003606 MA Part B Supplier - Clinic/Group Practice 1254802473 Receives reassigned benefits from 1 practitioner
Practice locations: Sudbury, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1336076520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PONDVIEW RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762542",
            "telephone_number": "800-634-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PONDVIEW RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762542",
            "telephone_number": "800-634-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDINTERACTIVE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "PAULO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-634-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdinteractive@mdinteractive.directmessaging.net",
            "affiliation": "N",
            "endpointDescription": "Organization-level Direct Secure Messaging address for MDinteractive Health PLLC. Accepts inbound clinical referrals (including 360X-based referrals), transitions of care, and general health information exchange messages. Tagged with 'referrals-360' use case via DirectTrust directory for automated EHR-based routing. Endpoint hosted by MaxMD (HISP).",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents (C-CDA, CCD, referrals, 360X-based transitions of care)",
            "address_1": "48 Pondview Rd",
            "city": "Sudbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017762542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.