Active NPI
Andrew P Modest, M.D.
- Hospitalist Physician
- Cambridge, MA
National Provider Identifier
1336179118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 53152
- Practice address
- 330 Mount Auburn St
Cambridge, MA 02138-5502 - Phone
- (617) 492-3500
- Fax
- (617) 499-5473
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 53152 | MA | |
| Hospitalist Physician | 208M00000X | 53152 | MA | Primary |
Addresses
Primary practice location
330 Mount Auburn St
Cambridge, MA 02138-5502
Mailing address
330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 492-3500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053152 | Other | MA | TUFTS |
| J10787 | Other | MA | BLUE CROSS |
| 0014945 | Other | MA | NEIGHBORHOOD HEALTH |
| 3193454 | Medicaid | MA | |
| M470 | Other | MA | HARVARD PILGRIM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amodestmd2785@direct.atrius.masshiway.net |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53152 | MA | MD | Hospitalist Physician |
Interoperability endpoints
- amodestmd2785@direct.atrius.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1336179118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-492-3500",
"fax_number": "617-499-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-492-3500",
"fax_number": "617-499-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODEST",
"first_name": "ANDREW",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "53152",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "53152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "053152",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J10787",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0014945",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3193454",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "M470",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amodestmd2785@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "330 Mount Auburn St",
"city": "Cambridge",
"state": "MA",
"country_code": "US",
"postal_code": "021385502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.