Organization Active NPI

Pratt OB/GYN Associates, Inc

  • Obstetrics & Gynecology Physician
  • Boston, MA
National Provider Identifier
1336186501
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PRATT OB/GYN ASSOCIATES, INC
Doing business as
Pratt OB/GYN Associates, Inc
Practice address
800 Washington St
Box 1013
Boston, MA 02111-1552
Phone
(617) 636-5000
NPI assigned
May 31, 2006
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Edward Gallegos
Title
Director
Phone
(617) 636-7549

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary
Maternal & Fetal Medicine Physician 207VM0101X NU
Advanced Practice Midwife 367A00000X MA

Addresses

Primary practice location

800 Washington St
Box 1013
Boston, MA 02111-1552

Mailing address

800 Washington St
Box 1013
Boston, MA 02111-1552
Phone (617) 636-5000

Other names 1

  • Pratt OB/GYN Associates, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001130 MA Part B Supplier - Clinic/Group Practice 9638060254 Receives reassigned benefits from 97 practitioners
Practice locations: Woburn, MA; Quincy, MA; North Chelmsford, MA; Braintree, MA; Norfolk, MA; Milford, MA; Melrose, MA; Medford, MA…

National Provider Directory

National Provider Directory

Locations

15 Braintree Hill Park
Ste 201
Braintree, MA 02184
Phone (781) 681-1000

1 Pearl St
Ste 1200
Brockton, MA 02301
Phone (508) 232-6465

101 Main St
Medford, MA 02155
Phone (617) 549-1914

50 Rowe St
Melrose, MA 02176
Phone (781) 620-4944

31 Pine St
Ste 205
Norfolk, MA 02056
Phone (508) 623-3800

20 Research Pl
Ste 210
North Chelmsford, MA 01863
Phone (978) 937-6363

7 Alfred St
Ste 300
Woburn, MA 01801
Phone (617) 933-8550

Practitioners & affiliated clinicians

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1336186501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "BOX 1013",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "BOX 1013",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT OB/GYN ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-636-7549"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pratt OB/GYN Associates, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.