Iora Health Massachusetts PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IORA HEALTH MASSACHUSETTS PC

Doing business as

Iora Primary Care

Practice address

489 Bearses Way
Hyannis, MA 02601-2707

Phone

(508) 771-4092

Fax

(508) 771-9466

NPI assigned

Mar 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Rushika Fernandopulle, MD

Title

President

Phone

(617) 454-4672

Specialties & licenses 1

Addresses

Other names 1

• Iora Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1154660603

  O20171116002743

  Same enrollment
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1255842936

  O20171116002743

  Same enrollment
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1851858666

  O20171116002743

  Same enrollment
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Hyde Park, MA
  • NPI 1891206579

  O20171116002743

  Same enrollment

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1548764798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TREMONT ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021085004",
            "telephone_number": "617-454-4672",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 BEARSES WAY",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012707",
            "telephone_number": "508-771-4092",
            "fax_number": "508-771-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IORA HEALTH MASSACHUSETTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDOPULLE",
        "authorized_official_first_name": "RUSHIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-454-4672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iora Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• IHS of Cape Cod LLC
• Inmed Diagnostic Services of Ma, LLC
• Integrative Medicine and Holistic Wellness Centers, LLC
• Integro Health & Wellness
• Intergrative Medicine&Holistic Wellness Ctr
• Iora Health Massachusetts, P.C.
• Iora Health Massachusetts, P.C.
• Christopher Ryan Jackson, M.D.
• Sara Jackson
• Amanda Jacob

• Internal Medicine Physician in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.