Active NPI
Leroy Monroe Parker, MD
- Medical Oncology Physician
- Boston, MA
National Provider Identifier
1629046776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 37499
- Practice address
- 450 Brookline Ave
Dana-Farber Cancer Institute
Boston, MA 02215-5418 - Phone
- (617) 632-3427
- Fax
- (617) 632-1930
- NPI assigned
- Mar 14, 2006
- Last updated
- Nov 21, 2011
- 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 37499 | MA | Primary |
Addresses
Primary practice location
450 Brookline Ave
Dana-Farber Cancer Institute
Boston, MA 02215-5418
Mailing address
20 Lincoln Road
Wayland, MA 01778
Phone (508) 358-2096
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B75955DF | Other | HPHC DFCI ONLY | |
| 2066693 | Other | AETNA US HEALTHCARE | |
| 037499 | Other | TUFTS | |
| 3004556 | Other | UNITED HEALTH CARE | |
| 110128571 | Other | RR MEDICARE DFCI | |
| 2040808 | Medicaid | MA | |
| M09083 | Other | MA | BCBS INDEMNITY ELECT HMO |
| 38108 | Other | FALLON COMMUNITY HEALTH | |
| 8350324 | Other | CIGNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37499 | MA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of Cape Cod Hospital | Current | Accepting new patients |
Locations
100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
Organizations & group practices 2
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.
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1629046776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LINCOLN ROAD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "01778",
"telephone_number": "508-358-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"address_2": "DANA-FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-3427",
"fax_number": "617-632-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "LEROY",
"middle_name": "MONROE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "37499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC DFCI ONLY",
"identifier": "B75955DF",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2066693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "037499",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "3004556",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE DFCI",
"identifier": "110128571",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2040808",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDEMNITY ELECT HMO",
"identifier": "M09083",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "38108",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8350324",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.