Boston West Cardiology PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

58014 Issued in MA

Legal business name

BOSTON WEST CARDIOLOGY PC

Practice address

20 Hope Ave
Suite G07
Waltham, MA 02453-2721

Phone

(781) 894-1199

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rifat B Dweik, M.D.NPI 1255361051

Title

President

Phone

(781) 894-1199

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Boston West Cardiology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boston West Cardiology

  • Cardiovascular Disease Physician
  • Waltham, MA
  • NPI 1396083051
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: dweik.rifat.rdmd@direct.partners.masshiway.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rifat B Dweik, M.D.

  • Cardiovascular Disease Physician
  • Waltham, MA
  • NPI 1255361051
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1376571380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G07",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-894-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G07",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-894-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON WEST CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "DWEIK",
        "authorized_official_first_name": "RIFAT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-894-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "58014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9710400",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0096113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060018689",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3024792",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "058014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "25-02894",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "AA23500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M19273",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boston Paincare Center Inc
• Boston Psychiatry Group, Inc.
• Boston Sports & Shoulder Center, LLC
• Boston Surgery Center, LLC
• Boston West Cardiology
• Heather M Boston, MA
• Bostongene Corporation
• Alexis Jean Boulanger, DPT
• Lauren Elizabeth Bourdon, M.ED., BCBA, LABA
• Courtney Lee Bourne, ATL2371

• Cardiovascular Disease Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.