Organization Active NPI

Onduo Professionals of Texas, P.a.

  • Clinic/Center
  • Newton, MA
National Provider Identifier
1538622436
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ONDUO PROFESSIONALS OF TEXAS, P.A.
Practice address
55 Chapel St
Newton, MA 02458-1060
Phone
(833) 446-6386
NPI assigned
Apr 9, 2019
Last updated
Jul 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Dr. David Erani, MDNPI 1144326653
Title
President & Ceo
Phone
(833) 446-6386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

55 Chapel St
Newton, MA 02458-1060

Mailing address

55 Chapel St Ste 200
Newton, MA 02458-1070
Phone (833) 446-6386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211124000629 MA Part B Supplier - Clinic/Group Practice 7012307556 Receives reassigned benefits from 1 practitioner
Practice locations: Newton Center, MA

National Provider Directory

National Provider Directory

Locations

55 Chapel St
Ste 200
Newton, MA 02458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1538622436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST STE 200",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581070",
            "telephone_number": "833-446-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581060",
            "telephone_number": "833-446-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONDUO PROFESSIONALS OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "ERANI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "833-446-6386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.