Individual provider Active NPI

Michael G Hamrock, MD

  • Internal Medicine Physician
  • West Roxbury, MA
National Provider Identifier
1538156880
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
153780 Issued in MA
Practice address
2020 Centre St
West Roxbury, MA 02132-3316
Phone
(617) 327-0700
Fax
(617) 327-6558
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 153780 MA Primary

Addresses

Primary practice location

2020 Centre St
West Roxbury, MA 02132-3316

Mailing address

Bmchs Provider Enrollment
960 Massachusetts Ave FLR 2
Boston, MA 02118

Other practice location 1

SEMC - Outpatient Psychiatry Departmen
2100 Dorchester Ave Suite 101
Dorchester, MA 02124
Phone (617) 562-5378

Other practice location 2

SEMC - Addiction Medicine - MAT clinic
736 Cambridge St, 6th FL
Bri, MA 02135
Phone (617) 562-5378

Other identifiers 1

IdentifierTypeStateIssuer
3183840MedicaidMA

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
I20090428000365 MA Practitioner - Internal Medicine 3476601618 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Steward St Elizabeths Medical Center of Boston IncGroup PAC ID 3476749540, 9 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

77 Warren St
Brighton, MA 02135-3601
Phone (617) 562-5525

77 Warren St 1St Floor and 2ND Floor
St Elizabeths Health Care at BMHC
Brighton, MA 02135-3601
Phone (617) 562-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153780MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Nov 6, 2010 Accepting new patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Nov 6, 2010 Accepting new patients
BMC Affiliated Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Oct 30, 2024 Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
Caritas St. Elizabeth'S Medical Center Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 501
Brighton, MA 02135
Phone (617) 782-1200

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

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

736 Cambridge St
Fl 6
Brighton, MA 02135
Phone (617) 779-6083

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

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

822 Boylston St
Ste 102
Chestnut Hill, MA 02467
Phone (617) 396-8866

2100 Dorchester Ave
Ste 101
Dorchester, MA 02124
Phone (617) 506-4990

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

Interoperability endpoints

  • Direct secure messaging: michael.hamrock.1@2017.direct.athenahealth.com
  • Direct secure messaging: michael.hamrock.2@2017.direct.athenahealth.com
  • Direct secure messaging: mhamrock252577@direct.bmc.masshiway.net

Organizations & group practices 7

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 1

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1538156880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BMCHS PROVIDER ENROLLMENT",
            "address_2": "960 MASSACHUSETTS AVE FLR 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323316",
            "telephone_number": "617-327-0700",
            "fax_number": "617-327-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SEMC - Outpatient Psychiatry Departmen",
            "address_2": "2100 Dorchester Ave Suite 101",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "02124",
            "country_code": "US",
            "telephone_number": "617-562-5378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "SEMC - Addiction Medicine - MAT clinic",
            "address_2": "736 Cambridge St, 6th FL",
            "address_purpose": "LOCATION",
            "city": "Bri",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-562-5378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMROCK",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "153780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3183840",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.