Individual provider Active NPI

Maria Ann Rupnick, MD, PHD

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1518971001
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
79901 Issued in ME
Practice address
75 Francis St
BWH Cardiovascular Division
Boston, MA 00115
Phone
(617) 732-6660
Fax
(617) 730-0002
NPI assigned
Jul 28, 2006
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79901 MA
Cardiovascular Disease Physician 207RC0000X 79901 ME Primary
Cardiovascular Disease Physician 207RC0000X 79901 MA

Addresses

Primary practice location

75 Francis St
BWH Cardiovascular Division
Boston, MA 00115

Mailing address

111 Cypress Street
Brigham and Womans Physician's Organization
Brookline, MA 02445
Phone (781) 321-7895

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
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
79901MEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc Internal Medicine CurrentSince Jul 2, 2018 Accepting new patients
Hospitalist Physicians of Massachusetts PC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lahey Clinic, Inc. Internal Medicine CurrentSince Jul 2, 2018 Accepting new patients
Pulmonary Physicians Past Accepting new patients

Locations

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

500 Lynnfield St
Lynn, MA 01904
Phone (781) 477-3940

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1518971001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CYPRESS STREET",
            "address_2": "BRIGHAM AND WOMANS PHYSICIAN'S ORGANIZATION",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "781-321-7895",
            "fax_number": "617-730-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "BWH CARDIOVASCULAR DIVISION",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "00115",
            "telephone_number": "617-732-6660",
            "fax_number": "617-730-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPNICK",
        "first_name": "MARIA",
        "middle_name": "ANN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79901",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "79901",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "79901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.