NPIMap

Individual provider Active NPI

Ronald L Warner, MD

  • Internal Medicine Physician
  • Hyde Park, MA
National Provider Identifier
1558356568
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
081807 Issued in MA
Practice address
1337 Hyde Park Ave
C/O Hyde Park Medical Care
Hyde Park, MA 02136-2713
Phone
(617) 364-9880
Fax
(617) 361-3663
NPI assigned
Sep 15, 2005
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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 081807 MA Primary

Addresses

Primary practice location

1337 Hyde Park Ave
C/O Hyde Park Medical Care
Hyde Park, MA 02136-2713

Mailing address

1337 Hyde Park Ave
C/O Hyde Park Medical Care
Hyde Park, MA 02136-2713
Phone (617) 364-9880

Other identifiers 9

IdentifierTypeStateIssuer
0401338OtherUNITED HEALTHCARE
65929OtherHARVARD PILGRIM HEALTHCAR
585491OtherAETNA US HEALTHCARE
043235613OtherTAX ID GROUP BILLING NUMB
081807OtherMATUFTS
110193638OtherPLAMETTO GBA
WAJ31905OtherMABXBS
0004078OtherNEIGHBORHOOD HEALTH PLAN
3141977MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000042 MA Practitioner - Internal Medicine 6204858475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

70 Francis St
Boston, MA 02115-6134
Phone (857) 307-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081807MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Healthcare Solutions LLC CurrentSince Oct 6, 2015 Accepting new patients
Brigham and Women's Faulkner Hospital Inc Current Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Armenian Nursing and Rehabilitation Center, Inc. Past Accepting new patients
Faulkner Community Medical Corp Internal Medicine Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

Interoperability endpoints

  • Direct secure messaging: warner.ronald.bwh@direct.partners.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Armenian Nursing and Rehabilitation Center IncJamaica Plain, MA, CCN 225417 Skilled nursing facility Adp of the SNF Apr 15, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1558356568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 HYDE PARK AVE",
            "address_2": "C/O HYDE PARK MEDICAL CARE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362713",
            "telephone_number": "617-364-9880",
            "fax_number": "617-361-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 HYDE PARK AVE",
            "address_2": "C/O HYDE PARK MEDICAL CARE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362713",
            "telephone_number": "617-364-9880",
            "fax_number": "617-361-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "081807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0401338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "65929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "585491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID GROUP BILLING NUMB",
            "identifier": "043235613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "081807",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAMETTO GBA",
            "identifier": "110193638",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "WAJ31905",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0004078",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3141977",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

Verify at the official NPI Registry.