NPIMap

Organization Active NPI

Cardiovascular Center at Tufts Medical Center, Inc.

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1447764253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER, INC.
Practice address
800 Washington St
Boston, MA 02111-1552
Phone
(617) 636-5000
Fax
(617) 636-7667
NPI assigned
Dec 1, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Edward Gallegos
Title
Director
Phone
(617) 636-7549

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X

Addresses

Primary practice location

800 Washington St
Boston, MA 02111-1552

Mailing address

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3452

Other practice location 2

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5803

Other practice location 3

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 630-5724

Other practice location 4

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8002

Other practice location 5

95 Chapel St Ste 2C
Norwood, MA 02062-3161
Phone (781) 762-0009

Other practice location 6

65 Walnut St Ste 201
Wellesley, MA 02481-2188
Phone (781) 237-3395

Other practice location 7

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5899

Other practice location 8

1690 Crown Colony Dr
Quincy, MA 02169-0913
Phone (857) 403-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180430000179 MA Part B Supplier - Clinic/Group Practice 3870857816 Receives reassigned benefits from 176 practitioners
Practice locations: Burlington, MA; Boston, MA; Worcester, MA; Weymouth, MA; Wellesley, MA; Quincy, MA; Norwood, MA; Melrose, MA…

National Provider Directory

National Provider Directory

Locations

800 Washington St
#5
Boston, MA 02111
Phone (617) 363-5829

800 Washington St
Ste 450
Boston, MA 02111

585 Lebanon St
Fl 2
Melrose, MA 02176

1135 W University Dr
Ste 250
Rochester Hills, MI 48307
Phone (248) 650-6301

Practitioners & affiliated clinicians

Practitioners 182

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 182

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1447764253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000",
            "fax_number": "617-636-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000",
            "fax_number": "617-636-7667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3452",
            "fax_number": "508-856-4571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-5803",
            "fax_number": "401-444-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-630-5724",
            "fax_number": "603-650-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018050001",
            "country_code": "US",
            "telephone_number": "781-744-8002",
            "fax_number": "781-744-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Chapel St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623161",
            "country_code": "US",
            "telephone_number": "781-762-0009",
            "fax_number": "781-255-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Walnut St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024812188",
            "country_code": "US",
            "telephone_number": "781-237-3395",
            "fax_number": "781-237-3397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5899",
            "fax_number": "973-290-7139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 Crown Colony Dr",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690913",
            "country_code": "US",
            "telephone_number": "857-403-4600",
            "fax_number": "617-364-7363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-636-7549"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.