Individual provider Active NPI

Pierre Chahraban, MD

  • Cardiovascular Disease Physician
  • Burlington, MA
National Provider Identifier
1508851866
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
74999 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805-2310
Phone
(781) 744-8000
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 74999 MA
Cardiovascular Disease Physician 207RC0000X 74999 MA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-2310

Mailing address

25 Marston St
Suite 404
Lawrence, MA 01841-2310
Phone (978) 989-9811

Other practice location 1

25 Marston St
Suite 404
Lawrence, MA 01841-2310
Phone (978) 989-9811

Other identifiers 1

IdentifierTypeStateIssuer
3106853MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050503001213 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264472802 Reassigns benefits to 5 organizations
I20160629000012 NH Practitioner - Cardiovascular Disease (Cardiology) 2264472802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Steward Medical Group, Inc Specialist CurrentSince Dec 16, 2013 Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
Lawrence General Hospital CurrentSince Oct 9, 1991 Accepting new patients
Steward Medical Group, Inc Specialist CurrentSince Dec 16, 2013 Accepting new patients
Lawrence General Hospital CurrentSince Oct 9, 1991 Accepting new patients
Steward Medical Group Inc. Past Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Northern Radiology Associates Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

25 Marston St
Ste 404
Lawrence, MA 01841
Phone (978) 712-7540

25 Marston St
Unit 2
Lawrence, MA 01841
Phone (978) 688-7900

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

25 Marston St
Lawrence, MA 01841
Phone (978) 273-0829

411 Merrimack St
Ste 104
Methuen, MA 01844
Phone (978) 685-5624

60 East St
Ste 2100
Methuen, MA 01844
Phone (978) 659-6059

70 East St
Methuen, MA 01844
Phone (978) 682-1906

23 Stiles Rd
Ste 107
Salem, NH 03079
Phone (603) 898-7622

22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pchahraban442069@direct.bilh.masshiway.net
  • Direct secure messaging: pierre.chahraban.1@28652.direct.athenahealth.com

Organizations & group practices 10

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 3

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1508851866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "address_2": "SUITE 404",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412310",
            "telephone_number": "978-989-9811",
            "fax_number": "978-989-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018052310",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Marston St",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018412310",
            "country_code": "US",
            "telephone_number": "978-989-9811",
            "fax_number": "978-989-0748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAHRABAN",
        "first_name": "PIERRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "74999",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "74999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106853",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.