Individual provider Active NPI

Mara Linscott, MD

  • Internal Medicine Physician
  • Kingston, MA
National Provider Identifier
1457458614
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242263 Issued in MA
Practice address
5 Tarkiln Road
Kingston, MA 02364-1250
Phone
(781) 585-2200
Fax
(781) 585-1784
NPI assigned
Sep 20, 2006
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242263 MA Primary

Addresses

Primary practice location

5 Tarkiln Road
Kingston, MA 02364-1250

Mailing address

5 Tarkiln Rd
Kingston, MA 02364-1250
Phone (781) 585-2200

Other identifiers 14

IdentifierTypeStateIssuer
7984860OtherAETNA
042297845OtherHCVM/FIRST HEALTH/COVENTRY
042297845OtherTRICARE
495210OtherTUFTS MEDICARE PREFERRED
J46719OtherMABCBSMA
6395310OtherCIGNA
042297845OtherPHCS/MULTI-PLAN
042297845OtherGIC/UNICARE
1457458614OtherNHP
495210OtherTUFTS
110084539AMedicaidMA
AA169440OtherHARVARD PILGRIM
042297845OtherUNITED HEALTH CARE
1457458614OtherFALLON

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20211026001858 FL Practitioner - Internal Medicine 8325046501

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Grumman Rd W
Bethpage, NY 11714-5029

650 5TH St
Suite 405
San Francisco, CA 94107-1521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242263MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Medical Center, Inc Past Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1457458614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TARKILN RD",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641250",
            "telephone_number": "781-585-2200",
            "fax_number": "781-585-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TARKILN ROAD",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641250",
            "telephone_number": "781-585-2200",
            "fax_number": "781-585-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSCOTT",
        "first_name": "MARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "242263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7984860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCVM/FIRST HEALTH/COVENTRY",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS MEDICARE PREFERRED",
            "identifier": "495210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J46719",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6395310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS/MULTI-PLAN",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIC/UNICARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1457458614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "495210",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084539A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA169440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1457458614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

Verify at the official NPI Registry.