Active NPI
Robert Charles Sumner, MD
- Cardiovascular Disease Physician
- Marlborough, MA
National Provider Identifier
1619000114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 032745
- Practice address
- 28 Lord Rd
Suite 255
Marlborough, MA 01752-4548 - Phone
- (508) 485-7660
- Fax
- (508) 481-4540
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 032745 | MA | Primary |
Addresses
Primary practice location
28 Lord Rd
Suite 255
Marlborough, MA 01752-4548
Mailing address
28 Lord Rd
Suite 255
Marlborough, MA 01752-4548
Phone (508) 485-7660
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6173411 | Medicaid | MA | |
| 04-3035909 | Other | MIMA GROUP TAX ID | |
| C05036 | Other | MA | BLUE CROSS BLUE SHIELD |
| 2000000232 | Other | MA | HARVARD PILGRIM HEALTH |
| 600427 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032745 | MA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1619000114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LORD RD",
"address_2": "SUITE 255",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017524548",
"telephone_number": "508-485-7660",
"fax_number": "508-481-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 LORD RD",
"address_2": "SUITE 255",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017524548",
"telephone_number": "508-485-7660",
"fax_number": "508-481-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "032745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6173411",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIMA GROUP TAX ID",
"identifier": "04-3035909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "C05036",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "2000000232",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "600427",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.