NPIMap

Organization Active NPI

Incare LLC

  • Internal Medicine Physician
  • North Andover, MA
National Provider Identifier
1639655467
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INCARE LLC
Practice address
565 Turnpike St Ste 85
North Andover, MA 01845-5936
Phone
(978) 689-2247
Fax
(833) 963-2037
NPI assigned
Jul 16, 2018
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Essam Ansari, MDNPI 1992812572
Title
Owner
Phone
(617) 290-4245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

565 Turnpike St Ste 85
North Andover, MA 01845-5936

Mailing address

565 Turnpike St Ste 85
North Andover, MA 01845-5936
Phone (978) 689-2247

Other practice location 1

145 Ward Hill Ave
Bradford, MA 01835-6928
Phone (978) 254-4983

Other practice location 2

140 Lincoln Ave
Haverhill, MA 01830-6700
Phone (781) 600-7599

Other practice location 3

70 East St
Methuen, MA 01844-4597
Phone (781) 600-7599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, RI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190802001626 MA Part B Supplier - Clinic/Group Practice 1153658851 Receives reassigned benefits from 77 practitioners
Practice locations: Haverhill, MA; Methuen, MA; North Andover, MA
O20220207000476 NH Part B Supplier - Clinic/Group Practice 1153658851 Receives reassigned benefits from 49 practitioners
Practice locations: Concord, NH; Nashua, NH
O20240918001269 RI Part B Supplier - Clinic/Group Practice 1153658851 Receives reassigned benefits from 2 practitioners
Practice locations: Coventry, RI

National Provider Directory

National Provider Directory

Locations

145 Ward Hill Ave
Ste 4
Haverhill, MA 01835

70 East St
Ste 302
Methuen, MA 01844

70 East St
Ste 4
Methuen, MA 01844

565 Turnpike St
North Andover, MA 01845
Phone (978) 681-1212

166 Kinsley St
Nashua, NH 03060
Phone (603) 595-4800

166 Kinsley St
Ste 101
Nashua, NH 03060
Phone (603) 881-7141

166 Kinsley St
Ste 4
Nashua, NH 03060

168 Kinsley St
Ste 406
Nashua, NH 03060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 121

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 121

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1639655467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST STE 85",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455936",
            "telephone_number": "978-689-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST STE 85",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455936",
            "telephone_number": "978-689-2247",
            "fax_number": "833-963-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Ward Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "MA",
            "postal_code": "018356928",
            "country_code": "US",
            "telephone_number": "978-254-4983",
            "fax_number": "978-641-3997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306700",
            "country_code": "US",
            "telephone_number": "781-600-7599",
            "fax_number": "877-886-2163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 East St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018444597",
            "country_code": "US",
            "telephone_number": "781-600-7599",
            "fax_number": "877-866-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-290-4245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.