NPIMap

Organization Active NPI

Massachusetts Institute of Technology

Doing business as MIT Health

  • Multi-Specialty Clinic/Center
  • Cambridge, MA
National Provider Identifier
1346308723
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
Doing business as
MIT Health
MIT Medical
Practice address
25 Carleton St
Cambridge, MA 02142-1323
Phone
(617) 253-4481
Fax
(617) 253-6558
NPI assigned
Dec 5, 2006
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Brian Schuetz
Title
Executive Director
Phone
(617) 258-6609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

25 Carleton St
Cambridge, MA 02142-1323

Mailing address

77 Massachusetts Ave # E23-431
Cambridge, MA 02139-4301
Phone (617) 258-6609

Other identifiers 2

IdentifierTypeStateIssuer
M16471OtherMABCBS
Y61353OtherMABCBS PHYSICAL THERAPY

Other names 2

  • MIT Health Doing business as
  • MIT Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000789 MA Part B Supplier - Clinic/Group Practice 5597658666 Receives reassigned benefits from 119 practitioners
Practice locations: Cambridge, MA

National Provider Directory

National Provider Directory

Locations

25 Carleton St
#E23395
Cambridge, MA 02142

77 Massachusetts Ave
#E23308
Cambridge, MA 02139
Phone (617) 258-5332

77 Massachusetts Ave
#E23397
Cambridge, MA 02139

244 Wood St
Lexington, MA 02421
Phone (781) 981-7080

Practitioners & affiliated clinicians

Practitioners 219

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 219

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1346308723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MASSACHUSETTS AVE # E23-431",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394301",
            "telephone_number": "617-258-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CARLETON ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421323",
            "telephone_number": "617-253-4481",
            "fax_number": "617-253-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS INSTITUTE OF TECHNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "SCHUETZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-258-6609"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M16471",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICAL THERAPY",
            "identifier": "Y61353",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIT Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIT Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIT Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2023; 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.