Active NPI
Carlos I Duran, MD
- Pediatric Critical Care Medicine Physician
- Boston, MA
National Provider Identifier
1497745517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 210408
- Practice address
- 800 Washington St
Tufts Medical Center
Boston, MA 02111-1552 - Phone
- (617) 636-5000
- Fax
- (617) 636-5000
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 210408 | MA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 210408 | MA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | 210408 | MA |
Addresses
Primary practice location
800 Washington St
Tufts Medical Center
Boston, MA 02111-1552
Mailing address
800 Washington St
Tufts Medical Center
Boston, MA 02111-1552
Phone (617) 636-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408837 | Other | MA | TUFTS HEALTH PLAN |
| 0190900 | Medicaid | MA | |
| J24552 | Other | MA | BCBS 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shriners' Hospital for Children | Pediatrics | Current | Accepting new patients |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Pediatrics | Current | Accepting new patients |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Emerson Hospital | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Interoperability endpoints
- duran.carlos.mgh@direct.partners.masshiway.net
Organizations & group practices 7
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Pediatrics
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Pediatric Surgery Physician
- Boston, MA
- NPI 1366886525
Pediatrics
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1497745517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "TUFTS MEDICAL CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000",
"fax_number": "617-636-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "TUFTS MEDICAL CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000",
"fax_number": "617-636-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "CARLOS",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "210408",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MA",
"license": "210408",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MA",
"license": "210408",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "408837",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0190900",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J24552",
"state": "MA"
}
],
"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 Apr 8, 2014; 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.