Active NPI
Melinda G Raboin, M.D.
- Family Medicine Physician
- Westford, MA
National Provider Identifier
1407860901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 75223
- Practice address
- 506 Groton Rd
Westford, MA 01886-6307 - Phone
- (978) 692-1222
- Fax
- (978) 692-1322
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 75223 | MA | Primary |
Addresses
Primary practice location
506 Groton Rd
Westford, MA 01886-6307
Mailing address
506 Groton Rd
Westford, MA 01886-6307
Phone (978) 692-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3108741 | Medicaid | MA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75223 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heywood Medical Group Inc. | Family Medicine | Current | Accepting new patients |
| LGH Professional Services LLC | Past | Accepting new patients |
Locations
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
Interoperability endpoints
- mraboin136695@tuftsmedicine.direct-ci.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1407860901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 GROTON RD",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018866307",
"telephone_number": "978-692-1222",
"fax_number": "978-692-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 GROTON RD",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018866307",
"telephone_number": "978-692-1222",
"fax_number": "978-692-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABOIN",
"first_name": "MELINDA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "75223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3108741",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.