Active NPI
Reza Abdi, MD
- Nephrology Physician
- Boston, MA
National Provider Identifier
1356359368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 160472
- Practice address
- 75 Francis Street
MRB 404 Brigham and Womens Hospital Renal Division
Boston, MA 02115 - Phone
- (617) 732-5850
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 160472 | MA | Primary |
Addresses
Primary practice location
75 Francis Street
MRB 404 Brigham and Womens Hospital Renal Division
Boston, MA 02115
Mailing address
75 Francis Street
MRB 404 Brigham and Womens Hospital Renal Division
Boston, MA 02115
Phone (617) 732-5850
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 |
|---|---|---|---|
| 160472 | MA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356359368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET",
"address_2": "MRB 404 BRIGHAM AND WOMENS HOSPITAL RENAL DIVISION",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET",
"address_2": "MRB 404 BRIGHAM AND WOMENS HOSPITAL RENAL DIVISION",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDI",
"first_name": "REZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "160472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.