Individual provider Active NPI

Machli Adrien, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boston, MA
National Provider Identifier
1356704597
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00349500 Issued in NJ
Practice address
150 S Huntington Ave # 112
Boston, MA 02130-4893
Phone
(857) 364-4802
Fax
(857) 364-5036
NPI assigned
Apr 4, 2016
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00349500 NJ Primary

Addresses

Primary practice location

150 S Huntington Ave # 112
Boston, MA 02130-4893

Mailing address

150 S Huntington Ave # 112
Boston, MA 02130-4817
Phone (857) 364-4802

Other practice location 1

225 Millburn Ave Ste 104B
Millburn, NJ 07041-1712
Phone (325) 323-6687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191016002016 SC Practitioner - Podiatry 5890026272 Reassigns benefits to 1 organization
I20191018000243 GA Practitioner - Podiatry 5890026272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Oct 1, 2019 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

4300 University Pkwy
Evans, GA 30809
Phone (706) 721-3873

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

901 Magnolia Dr
Aiken, SC 29803
Phone (803) 648-6877

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1356704597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE # 112",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "857-364-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE # 112",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304893",
            "telephone_number": "857-364-4802",
            "fax_number": "857-364-5036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Millburn Ave Ste 104B",
            "address_purpose": "LOCATION",
            "city": "Millburn",
            "state": "NJ",
            "postal_code": "070411712",
            "country_code": "US",
            "telephone_number": "325-323-6687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADRIEN",
        "first_name": "MACHLI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-01-30",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00349500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.