Individual provider Active NPI

Claude Resil, M.D.

  • Internal Medicine Physician
  • Dorchester, MA
National Provider Identifier
1639150592
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
159900 Issued in MA
Practice address
2110 Dorchester Ave
Seton Medical Building, Suite 205
Dorchester, MA 02124-5628
Phone
(617) 298-8304
Fax
(617) 298-8300
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 159900 MA Primary

Addresses

Primary practice location

2110 Dorchester Ave
Seton Medical Building, Suite 205
Dorchester, MA 02124-5628

Mailing address

PO Box 366251
Hyde Park, MA 02136-0023
Phone (617) 298-8304

Other practice location 1

599 Pleasant St
Brockton, MA 02301-2512
Phone (508) 894-1126

Other identifiers 2

IdentifierTypeStateIssuer
110067981AMedicaidMA
110062563AMedicaidMA

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
I20080813000473 MA Practitioner - Internal Medicine 5193769040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resil Medical Associates PCGroup PAC ID 9830133784, 2 clinicians

Practice addresses (Care Compare)

2110 Dorchester Ave
Suite 205
Dorchester, MA 02124-5699
Phone (617) 298-8304

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parity Urgent Care Plus, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

950 American Legion Hwy
Unit 10
Roslindale, MA 02131
Phone (617) 991-2931

950 American Legion Hwy
Roslindale, MA 02131
Phone (617) 323-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAFBA/Endpoint/IIAFBA

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1639150592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366251",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021360023",
            "telephone_number": "617-298-8304",
            "fax_number": "617-298-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "SETON MEDICAL BUILDING, SUITE 205",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-298-8304",
            "fax_number": "617-298-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023012512",
            "country_code": "US",
            "telephone_number": "508-894-1126",
            "fax_number": "508-894-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESIL",
        "first_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "159900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110067981A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110062563A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.