NPIMap

Organization Active NPI

Heyday Health Medical Group Inc

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1548855877
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEYDAY HEALTH MEDICAL GROUP INC
Doing business as
Heyday Health Medical Group Inc
Practice address
1 Mifflin PL Ste 400
Cambridge, MA 02138-4946
Phone
(234) 200-0854
NPI assigned
Mar 8, 2021
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. Nupur Mehta, MDNPI 1407993868
Title
Chief Medical Officer
Phone
(234) 200-0854

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1 Mifflin PL Ste 400
Cambridge, MA 02138-4946

Mailing address

143 Boardman Canfield Rd Ste 359
Boardman, OH 44512-4804
Phone (234) 200-0854

Other practice location 1

600 Superior Avenue
East, Fifth/Third Building Suite 1300
Cleveland, OH 44114
Phone (234) 200-0854

Other names 2

  • Heyday Health Medical Group Inc Doing business as
  • Here Health Medical Group Inc Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nupur.mehta@306803895697410.direct.elationemr.com Direct
Direct Messaging Address nupur.mehta@306803895697410.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210426001104 OH Part B Supplier - Clinic/Group Practice 5698183911 Receives reassigned benefits from 11 practitioners
Practice locations: Cleveland, OH
O20220812000111 KY Part B Supplier - Clinic/Group Practice 5698183911 Receives reassigned benefits from 4 practitioners
Practice locations: Lexington, KY
O20221202001181 IN Part B Supplier - Clinic/Group Practice 5698183911 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

1 Mifflin Pl
Ste 400
Cambridge, MA 02138
Phone (617) 802-7478

839 E Market St
Ste 106
Akron, OH 44305
Phone (234) 348-1825

Interoperability endpoints

  • Direct secure messaging: nupur.mehta@306803895697410.direct.elationemr.com

Practitioners & affiliated clinicians

Practitioners 12

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1548855877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BOARDMAN CANFIELD RD STE 359",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124804",
            "telephone_number": "234-200-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MIFFLIN PL STE 400",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384946",
            "telephone_number": "234-200-0854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Superior Avenue",
            "address_2": "East, Fifth/Third Building Suite 1300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44114",
            "country_code": "US",
            "telephone_number": "234-200-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEYDAY HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NUPUR",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "234-200-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nupur.mehta@306803895697410.direct.elationemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3727 Veazey St NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200162248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nupur.mehta@306803895697410.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "143 Boardman Canfield Rd Ste 359",
            "city": "Boardman",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445124804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heyday Health Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heyday Health Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Here Health Medical Group Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.