Individual provider Active NPI

Mark Y Urman, M.D.

  • General Practice Physician
  • Chestnut Hill, MA
National Provider Identifier
1346540002
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
216846 Issued in MA
Practice address
250 Hammond Pond Pkwy Apt 1111N
Chestnut Hill, MA 02467-1528
Phone
(617) 610-5082
NPI assigned
Oct 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 216846 MA Primary

Addresses

Primary practice location

250 Hammond Pond Pkwy Apt 1111N
Chestnut Hill, MA 02467-1528

Mailing address

250 Hammond Pond Pkwy
Apt 1111N
Chestnut Hill, MA 02467-1528
Phone (617) 782-7788

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
I20110325000358 MA Practitioner - General PracticePractitioner - Physical Medicine and Rehabilitation 7315120524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
24.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Urman MD PC General Practice CurrentSince Apr 29, 2013 Accepting new patients
2101 Washington Street Operating Company, LLC Past Accepting new patients
Bane Brighton House, LLC Past Accepting new patients

Locations

1 Meadowbrook Way
Canton, MA 02021
Phone (781) 961-5600

115 North Ave
Rockland, MA 02370
Phone (781) 878-2308

170 Worcester St
Wellesley, MA 02481
Phone (781) 431-1333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1346540002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAMMOND POND PKWY",
            "address_2": "APT 1111N",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671528",
            "telephone_number": "617-782-7788",
            "fax_number": "617-663-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HAMMOND POND PKWY APT 1111N",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671528",
            "telephone_number": "617-610-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URMAN",
        "first_name": "MARK",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "216846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.