Individual provider Active NPI

Gabryel Obedoza, MD

  • Family Medicine Physician
  • Chestnut Hill, MA
National Provider Identifier
1588367320
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1026895 Issued in MA
Practice address
25 Boylston St Ste 204
Chestnut Hill, MA 02467-1710
Phone
(617) 546-6100
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 1026895 MA Primary

Addresses

Primary practice location

25 Boylston St Ste 204
Chestnut Hill, MA 02467-1710

Mailing address

25 Boylston St Ste 204
Chestnut Hill, MA 02467-1710
Phone (617) 546-6100

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
I20230831002771 MA Order and Referring Only - Family PracticePractitioner - Family Practice 7113380536

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission Current Accepting new patients

Locations

195 Canal St
Malden, MA 02148
Phone (781) 338-0055

Interoperability endpoints

  • Direct secure messaging: gobedoza117581@direct.challiance.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1588367320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST STE 204",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671710",
            "telephone_number": "617-546-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST STE 204",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671710",
            "telephone_number": "617-546-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEDOZA",
        "first_name": "GABRYEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1026895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.