Active NPI
Cardiovascular Center at Tufts Medical Center, Inc.
- Cardiovascular Disease Physician
- Boston, MA
National Provider Identifier
1447764253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Critical Care Medicine (Internal Medicine) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
800 Washington St
#5
Boston, MA 02111
Phone (617) 363-5829
260 Tremont St
Ste 6B
Boston, MA 02116
800 Washington St
Ste 450
Boston, MA 02111
Phone (617) 636-4648
800 Washington St
#1
Boston, MA 02111
275 Varnum Ave
Lowell, MA 01854
Phone (978) 548-4333
585 Lebanon St
Fl 2
Melrose, MA 02176
Practitioners & affiliated clinicians
Practitioners 182
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Boston, MA
- NPI 1013935436
Cardiovascular Disease, MA
-
- Clinical Cardiac Electrophysiology Physician
- Melrose, MA
- NPI 1598185654
Clinical Cardiac Electrophysiology, MA
-
- Cardiovascular Disease Physician
- Cambridge, MA
- NPI 1841268042
Cardiovascular Disease, MA
-
- Clinical Cardiac Electrophysiology Physician
- Fall River, MA
- NPI 1306857081
Clinical Cardiac Electrophysiology, MA
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1427011840
Cardiovascular Disease, MA
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.