Individual provider Active NPI

Allen J Criss, MD

  • Cardiovascular Disease Physician
  • Melrose, MA
National Provider Identifier
1336126853
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
29148 Issued in MA
Practice address
50 Rowe St
Ste 500
Melrose, MA 02176-3228
Phone
(781) 979-3800
Fax
(781) 662-2778
NPI assigned
Dec 27, 2005
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29148 MA Primary

Addresses

Primary practice location

50 Rowe St
Ste 500
Melrose, MA 02176-3228

Mailing address

50 Rowe St
Ste 500
Melrose, MA 02176-3228
Phone (781) 979-3800

Other identifiers 2

IdentifierTypeStateIssuer
B31076OtherMABC/BS
0118982MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29148MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Imaging Associates, PC PastSince Jun 1, 2017 Accepting new patients
Melrose Internal Medicine Assoc PC Cardiovascular Disease PastSince Apr 21, 1993 Accepting new patients

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1336126853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROWE ST",
            "address_2": "STE 500",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763228",
            "telephone_number": "781-979-3800",
            "fax_number": "781-662-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROWE ST",
            "address_2": "STE 500",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763228",
            "telephone_number": "781-979-3800",
            "fax_number": "781-662-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISS",
        "first_name": "ALLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "29148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "B31076",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118982",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.