Individual provider Active NPI

Beth A Buyea, PA

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1508908542
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2301 Issued in MA
Practice address
800 Huntington Ave
Boston, MA 02115
Phone
(857) 307-2200
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001245 CT
Physician Assistant 363A00000X PA2301 MA Primary

Addresses

Primary practice location

800 Huntington Ave
Boston, MA 02115

Mailing address

375 Boylston St
Brookline, MA 02445-6007

Other practice location 1

6 Main St
Durham, CT 06422
Phone (860) 349-1058

Other practice location 2

6 Main St
Durham, CT 06422
Phone (860) 349-1058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001245CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc Physician Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1508908542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BOYLSTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "857-307-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Main St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "CT",
            "postal_code": "06422",
            "country_code": "US",
            "telephone_number": "860-349-1058",
            "fax_number": "860-349-0764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Main St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "CT",
            "postal_code": "06422",
            "country_code": "US",
            "telephone_number": "860-349-1058",
            "fax_number": "860-349-0764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUYEA",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001245",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.