Individual provider Active NPI

Robert J. Master, MD

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1518048131
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35355 Issued in MA
Practice address
9A Forest St
Cambridge, MA 02140-1501
Phone
(617) 680-6892
Fax
(857) 678-4049
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35355 MA Primary

Addresses

Primary practice location

9A Forest St
Cambridge, MA 02140-1501

Mailing address

9A Forest St
Cambridge, MA 02140-1501
Phone (617) 680-6892

Other identifiers 3

IdentifierTypeStateIssuer
66923UHOtherMAHPHC NUMBER
M08434OtherMABCBS NUMBER
0138401MedicaidMA

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
I20050125000468 MA Practitioner - Internal Medicine 7517916851 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covid Safe at Home, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Newvision Healthcare Group CurrentSince Sep 27, 2022 Accepting new patients

Locations

4 Frank Leary Way
Ste D
Randolph, MA 02368
Phone (781) 885-7530

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBAED/Endpoint/EIBAED

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1518048131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9A FOREST ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401501",
            "telephone_number": "617-680-6892",
            "fax_number": "857-678-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A FOREST ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401501",
            "telephone_number": "617-680-6892",
            "fax_number": "857-678-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "35355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC NUMBER",
            "identifier": "66923UH",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "M08434",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.