NPIMap

Organization Active NPI

Mass General Brigham Urgent Care LLC

  • Urgent Care Clinic/Center
  • Cambridge, MA
National Provider Identifier
1609387695
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MASS GENERAL BRIGHAM URGENT CARE LLC
Practice address
1815 Massachusetts Ave
Cambridge, MA 02140-1430
Phone
(857) 856-5770
NPI assigned
Oct 17, 2017
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MASS GENERAL BRIGHAM URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Kevin Robert Mulcahy
Title
Senior Director
Phone
(617) 724-9245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

1815 Massachusetts Ave
Cambridge, MA 02140-1430

Mailing address

399 Revolution Dr
Somerville, MA 02145-1484
Phone (888) 980-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150605002309 MA Part B Supplier - Clinic/Group Practice 9436470119 Receives reassigned benefits from 224 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boston, MA; Brookline, MA; Lynn, MA; Natick, MA; Newton, MA; Westwood, MA; Woburn, MA

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Mass General Brigham Urgent

Locations

137 Stuart St
Ste A7
Boston, MA 02116
Phone (617) 393-5059

76 Prospect St
Cambridge, MA 02139
Phone (512) 551-1368

55 Needham St
Newton, MA 02461
Phone (857) 598-4460

425 Washington St
Woburn, MA 01801
Phone (617) 724-9245

Practitioners & affiliated clinicians

Practitioners 229

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.

View all 229

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1609387695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451484",
            "telephone_number": "888-980-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401430",
            "telephone_number": "857-856-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASS GENERAL BRIGHAM URGENT CARE LLC",
        "enumeration_date": "2017-10-17",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MULCAHY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "617-724-9245"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2021; 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.