Individual provider Active NPI

Ashish Mahajan, M.D.

  • Nephrology Physician
  • Boston, MA
National Provider Identifier
1497974539
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
222613 Issued in MA
Practice address
Tufts New England Medical Center
750 Washington St. #391
Boston, MA 02111
Phone
(617) 636-9606
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 222613 MA Primary

Addresses

Primary practice location

Tufts New England Medical Center
750 Washington St. #391
Boston, MA 02111

Mailing address

28 Mount Vernon St
Unit #1
Somerville, MA 02145-3344
Phone (617) 636-9606

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000421 MA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8224121850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Asssociates of the Merrimack Valley PCGroup PAC ID 1153365168, 4 clinicians

Practice addresses (Care Compare)

600 Clark Rd
Suite 2
Tewksbury, MA 01876-1699
Phone (978) 432-1811

Hospital & facility affiliations

  • Fresenius Medical Care of Lowell Dialysis facility, Lowell, MA, CCN 222583
  • Fresenius Medical Care Chelmsford Dialysis facility, Chelmsford, MA, CCN 222587
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Merit-based Incentive Payment System (MIPS)

Final score
18.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
222613MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Asssociates of the Merrimack Valley PC Nephrology CurrentSince Aug 6, 2007 Accepting new patients
The Lowell General Hospital Past Accepting new patients

Locations

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

33 Bartlett St
Ste 108
Lowell, MA 01852
Phone (978) 453-1811

600 Clark Rd
Fl 2
Tewksbury, MA 01876
Phone (978) 453-1811

600 Clark Rd
#2
Tewksbury, MA 01876
Phone (978) 432-1811

Interoperability endpoints

  • Direct secure messaging: ashish.mahajan@namv.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1497974539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MOUNT VERNON ST",
            "address_2": "UNIT #1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453344",
            "telephone_number": "617-636-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUFTS NEW ENGLAND MEDICAL CENTER",
            "address_2": "750 WASHINGTON ST. #391",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "ASHISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "222613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.