Individual provider Active NPI

Abby Marie Pribish, MD

  • Cardiovascular Disease Physician
  • Medford, MA
National Provider Identifier
1609360346
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
285321 Issued in MA
Practice address
127 Main St
Medford, MA 02155-4522
Phone
(781) 395-4909
NPI assigned
Jun 17, 2018
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 285321 MA Primary

Addresses

Primary practice location

127 Main St
Medford, MA 02155-4522

Mailing address

127 Main St
Medford, MA 02155-4522
Phone (781) 395-4909

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
I20240814000215 MA Practitioner - Internal Medicine 7315295623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

127 Main St
Medford, MA 02155-4522
Phone (781) 395-4909

137 Main St
Medford, MA 02155-4522
Phone (781) 395-4761

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285321MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Cardiology Associates Inc Cardiovascular Disease Current Accepting new patients
Mass General Brigham Community Physicians Inc Cardiovascular Disease CurrentSince Sep 4, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc. Cardiovascular Disease Past Accepting new patients

Locations

127 Main St
Medford, MA 02155
Phone (781) 395-4909

137 Main St
Medford, MA 02155
Phone (781) 395-4761

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

Interoperability endpoints

  • Direct secure messaging: apribish114695@tuftsmedicine.direct-ci.com
  • Direct secure messaging: pribish.abby.mcard@direct.partners.masshiway.net

Organizations & group practices 3

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 5

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": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1609360346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554522",
            "telephone_number": "781-395-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554522",
            "telephone_number": "781-395-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBISH",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "285321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.