Active NPI
Pratt Urology Associates, Inc
- Urology Physician
- Boston, MA
National Provider Identifier
1497795025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- PRATT UROLOGY ASSOCIATES, INC
- Practice address
- 800 Washington St
Box 1013
Boston, MA 02111-1552 - Phone
- (617) 636-5000
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
800 Washington St
Box 1013
Boston, MA 02111-1552
Mailing address
800 Washington St
Box 1013
Boston, MA 02111-1552
Phone (617) 636-5000
Other names 1
- Pratt Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040323000991 | MA | Part B Supplier - Clinic/Group Practice | 8426949025 |
Receives reassigned benefits from 36 practitioners Practice locations: Framingham, MA; Stoneham, MA; Melrose, MA; Boston, MA |
National Provider Directory
National Provider DirectoryLocations
7 Alfred St
Ste 370
Woburn, MA 01801
Phone (617) 636-5890
Practitioners & affiliated clinicians
Practitioners 42
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492732800000",
"number": "1497795025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "BOX 1013",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "BOX 1013",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRATT UROLOGY ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2017-04-21",
"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": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pratt Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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 21, 2017; 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.