Individual provider Active NPI

Samantha R Mekrut, MD

  • Family Medicine Physician
  • Sherborn, MA
National Provider Identifier
1386850428
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
238756 Issued in MA
Practice address
30 Great Rock Rd
Sherborn, MA 01770-1608
Phone
(508) 466-5939
Fax
(617) 690-5963
NPI assigned
May 15, 2007
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229051 MA
Family Medicine Physician 207Q00000X MD443428 PA
Family Medicine Physician 207Q00000X 238756 MA Primary

Addresses

Primary practice location

30 Great Rock Rd
Sherborn, MA 01770-1608

Mailing address

30 Great Rock Rd
Sherborn, MA 01770-1608
Phone (508) 466-5939

Other practice location 1

354 Waverley St
Framingham, MA 01702-7079
Phone (508) 370-0113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward M Kennedy Community Health Center IncGroup PAC ID 3476512740, shared by 5 NPIs, 65 clinicians

Practice addresses (Care Compare)

354 Waverley St
Framingham, MA 01702-7079
Phone (508) 370-0113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229051MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meristem Family Medicine PLLC Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients

Locations

5 N Meadows Rd
Ste 1A
Medfield, MA 02052
Phone (203) 209-2876

Interoperability endpoints

  • Direct secure messaging: samantha.mekrut.1@966.direct.athenahealth.com
  • Direct secure messaging: samantha.mekrutmd.p1@direct.emkchc.nextgenshare.com

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1386850428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GREAT ROCK RD",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701608",
            "telephone_number": "508-466-5939",
            "fax_number": "617-690-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GREAT ROCK RD",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701608",
            "telephone_number": "508-466-5939",
            "fax_number": "617-690-5963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Waverley St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017027079",
            "country_code": "US",
            "telephone_number": "508-370-0113",
            "fax_number": "508-270-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKRUT",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "229051",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD443428",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "238756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherborn, MA

Sources for this page

Verify at the official NPI Registry.