Individual provider Active NPI

Alexander B Latty, M.D.

  • Pulmonary Disease Physician
  • Melrose, MA
National Provider Identifier
1346259488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35729 Issued in MA
Practice address
Melrose Medical Assocs
792 Main Street
Melrose, MA 02176-2710
Phone
(781) 662-7037
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35729 MA Primary

Addresses

Primary practice location

Melrose Medical Assocs
792 Main Street
Melrose, MA 02176-2710

Mailing address

Melrose Medical Assoc
792 Main Street
Melrose, MA 02176-2710
Phone (781) 662-7037

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
I20051018001185 MA Practitioner - Internal Medicine 2062438195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melrose Medical AssociatesGroup PAC ID 1153456991, 2 clinicians

Practice addresses (Care Compare)

792 Main St
Melrose, MA 02176-2710
Phone (781) 662-7037

Hospital & facility affiliations

  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35729MAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melrose Medical Associates Current Accepting new patients
Melrose Medical Associates CurrentSince Jan 1, 1988 Accepting new patients

Locations

792 Main St
Melrose, MA 02176
Phone (781) 662-7037

Interoperability endpoints

  • Direct secure messaging: alatty28746@tuftsmedicine.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346259488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MELROSE MEDICAL ASSOC",
            "address_2": "792 MAIN STREET",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762710",
            "telephone_number": "781-662-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MELROSE MEDICAL ASSOCS",
            "address_2": "792 MAIN STREET",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762710",
            "telephone_number": "781-662-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTY",
        "first_name": "ALEXANDER",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "35729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.