NPIMap

Organization Active NPI

Pratt Medical Group, Inc

Doing business as Pratt Medical Group, Inc - Pulmonary Disease

  • Pulmonary Disease Physician
  • Boston, MA
National Provider Identifier
1508187642
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PRATT MEDICAL GROUP, INC
Doing business as
Pratt Medical Group, Inc - Pulmonary Disease
Practice address
800 Washington St
Box 1013
Boston, MA 02111-1552
Phone
(617) 636-0249
Fax
(617) 636-1622
NPI assigned
Jun 11, 2010
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU 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) 636-0249

Other names 1

  • Pratt Medical Group, Inc - Pulmonary Disease Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040807000255 MA Part B Supplier - Clinic/Group Practice 3375515661 Receives reassigned benefits from 393 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lowell, MA; Medford, MA; Melrose, MA; Norfolk, MA; Saugus, MA; Somerville, MA; Stoneham, MA; Weymouth, MA…
O20090114000731 RI Part B Supplier - Clinic/Group Practice 3375515661 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Providence, RI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

56 Winthrop St
Ste B
Concord, MA 01742
Phone (978) 287-4788

113 Washington St
Foxborough, MA 02035
Phone (508) 543-1553

695 Truman Hwy
Ste 209
Hyde Park, MA 02136
Phone (617) 333-0400

10 Cabot Rd
Medford, MA 02155
Phone (781) 395-0625

305 Mystic Ave
Medford, MA 02155
Phone (781) 396-9282

95 Chapel St
Ste 2C
Norwood, MA 02062
Phone (781) 762-0009

942 South St
Roslindale, MA 02131
Phone (617) 240-0935

124 Broadway
Saugus, MA 01906
Phone (781) 233-2877

643 Broadway
Somerville, MA 02145
Phone (617) 616-3600

Practitioners & affiliated clinicians

Practitioners 432

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 432

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1508187642",
    "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": "617-636-0249",
            "fax_number": "617-636-1622"
        },
        {
            "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": "617-636-0249",
            "fax_number": "617-636-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "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": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pratt Medical Group, Inc - Pulmonary Disease",
            "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.

Verify at the official NPI Registry.