Individual provider Active NPI

Sara M Nelson, MD

  • Pediatrics Physician
  • Chelsea, MA
National Provider Identifier
1336120823
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
220369 Issued in MA
Practice address
151 Everett Avenue
Chelsea Healthcare Center
Chelsea, MA 02150-1807
Phone
(617) 889-8520
Fax
(617) 889-8571
NPI assigned
Nov 10, 2005
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 220369 MA Primary

Addresses

Primary practice location

151 Everett Avenue
Chelsea Healthcare Center
Chelsea, MA 02150-1807

Mailing address

PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 889-8520

Other identifiers 3

IdentifierTypeStateIssuer
2065690MedicaidMA
J27582OtherMABCBS MA
469142OtherMATUFTS HEALTH PLAN

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
I20040726000881 MA Practitioner - Pediatric Medicine 3476533746 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Apr 1, 2010 Accepting new patients
Boston Community Pediatrics Inc Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince Apr 1, 2010 Accepting new patients

Locations

527 Albany St
#200
Boston, MA 02118
Phone (617) 934-6009

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

151 Everett Ave
Chelsea, MA 02150
Phone (617) 884-8300

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nelson.sara.mgh@direct.partners.masshiway.net
  • Direct secure messaging: sara.nelson.1@22231.direct.athenahealth.com

Organizations & group practices 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1336120823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-889-8520",
            "fax_number": "617-889-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EVERETT AVENUE",
            "address_2": "CHELSEA HEALTHCARE CENTER",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501807",
            "telephone_number": "617-889-8520",
            "fax_number": "617-889-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "220369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065690",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J27582",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "469142",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.