Ehsan Azimi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

259378 Issued in MA

Practice address

485 Arsenal St
Watertown, MA 02472-5091

Phone

(617) 972-5512

NPI assigned

Apr 11, 2010

Last updated

Oct 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Medical College of Wisconsin, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna Care Network Home health agency, Worcester, MA, CCN 227098
• Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
• Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
• Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914
  Medicare reassignment Care Compare group NPD
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634
  NPD
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1740238526
  NPD (past)

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

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Care Compare affiliation
• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• Mount Auburn Hospital

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1689670259
  Care Compare affiliation
• Northeast Professional Registry of Nurses Inc

  dba Beth Israel Lahey Health at Home

  • Home Health Agency
  • Woburn, MA
  • NPI 1346257474
  Care Compare affiliation
• Pathways Healthcare, LLC

  • Home Health Agency
  • Westwood, MA
  • NPI 1740529668
  Care Compare affiliation
• Vna Care Network, Inc.

  • Home Health Agency
  • Worcester, MA
  • NPI 1922002286
  Care Compare affiliation

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1437475829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024725091",
            "telephone_number": "617-972-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024725091",
            "telephone_number": "617-972-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "EHSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-11",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "259378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eazimimd74304@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "485 Arsenal St",
            "city": "Watertown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024725091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Atrius Health, Inc. (Harvard Vanguard Medical Associates)
• Atrius Health, Inc.
• Atriushealth
• Hazel Audet, RN
• Rachel Aylsworth, LMHC, BC-DMT
• Casey Marie Pettit Babcock
• Joshua J. Bachand, DPT
• Erik Baghdasaryan, BSBA
• Meredith Bagley, PT, DPT
• Stephen Baillargeon

• Internal Medicine Physician in Watertown, MA
• Providers in Watertown, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.