Individual provider Active NPI

Andrew James Chandler, MD

  • Family Medicine Physician
  • Somerville, MA
National Provider Identifier
1548607112
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
265771 Issued in MA
Practice address
645 Broadway
Somerville, MA 02145-2528
Phone
(617) 625-0006
Fax
(617) 625-6644
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 265771 MA Primary

Addresses

Primary practice location

645 Broadway
Somerville, MA 02145-2528

Mailing address

645 Broadway
Somerville, MA 02145-2528
Phone (617) 625-0006

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
I20160714001027 MA Practitioner - Family Practice 0042514986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Group PCGroup PAC ID 5395717920, 16 clinicians

Practice addresses (Care Compare)

11 Water St
Suite 1a
Arlington, MA 02476-4814
Phone (781) 648-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Group PC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Family Practice Group, P.C. Past Accepting new patients

Locations

11 Water St
Arlington, MA 02476

11 Water St
Ste 1A
Arlington, MA 02476
Phone (781) 648-9700

Interoperability endpoints

  • Direct secure messaging: achandler252819@direct.bilh.masshiway.net

Organizations & group practices 2

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 3

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1548607112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452528",
            "telephone_number": "617-625-0006",
            "fax_number": "617-625-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452528",
            "telephone_number": "617-625-0006",
            "fax_number": "617-625-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "265771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.