Individual provider Active NPI

Derya Bora Hazar, M.D.

  • Nephrology Physician
  • Dorchester Center, MA
National Provider Identifier
1659475366
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
78328 Issued in MA
Practice address
2100 Dorchester Ave
Suite 2204
Dorchester Center, MA 02124-5615
Phone
(617) 739-2100
Fax
(617) 296-4330
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 78328 MA Primary

Addresses

Primary practice location

2100 Dorchester Ave
Suite 2204
Dorchester Center, MA 02124-5615

Mailing address

31 Pine St
Ste 204
Norfolk, MA 02056-1680
Phone (617) 739-2100

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
I20081126000167 MA Practitioner - NephrologyPractitioner - Internal Medicine 8224119375 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NE Nephrology Home Care AssociatesGroup PAC ID 5799864393, 10 clinicians

Practice addresses (Care Compare)

110 Mount Wayte Ave
Framingham, MA 01702-5705
Phone (508) 875-8046

111 Pleasant St
Attleboro, MA 02703-2360
Phone (617) 739-2100

2 W St
Suite 1
South Weymouth, MA 02190-1861
Phone (617) 739-2100

2110 Dorchester Ave
Suite 2204
Dorchester, MA 02124-5628
Phone (617) 739-2100

31 Pine St
Suite 204
Norfolk, MA 02056-1680
Phone (617) 739-7100

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

Hospital & facility affiliations

  • FMC Westwood Dialysis Center (BMA Westwood) Dialysis facility, Westwood, MA, CCN 222511
  • FMC Attleboro Dialysis Center Dialysis facility, Attleboro, MA, CCN 222581
  • FMC Mary Eliza Mahoney Dialysis Center (BMA Of Massachusetts) Dialysis facility, Roxbury, MA, CCN 222525
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Encompass Health Braintree Hospital of Braintree Inpatient rehabilitation facility, Braintree, MA, CCN 223027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NE Nephrology Home Care Associates Nephrology CurrentSince Nov 1, 2002 Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 15, 2015 Accepting new patients
The General Hospital Corporation CurrentSince Jan 15, 2015 Accepting new patients
New England Nephrology Associates Nephrology CurrentSince Nov 1, 2007 Accepting new patients
Bio-Medical Applications of Massachusetts, Inc. PastSince Apr 1, 2002 Accepting new patients
CNV Cape Cod LLC Nephrology PastSince Jul 1, 2024 Accepting new patients

Locations

111 Pleasant St
Attleboro, MA 02703
Phone (508) 226-0218

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

2110 Dorchester Ave
Ste 2204
Dorchester, MA 02124
Phone (508) 650-7890

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

100 Highland St
Ste 222
Milton, MA 02186
Phone (617) 696-0660

31 Pine St
Ste 204
Norfolk, MA 02056
Phone (617) 739-7100

31 Pine St
Norfolk, MA 02056
Phone (508) 623-3700

31 Pine St
Ste 20
Norfolk, MA 02056

2 West St
Weymouth, MA 02190
Phone (617) 337-2400

2 West St
Ste 1
Weymouth, MA 02190
Phone (781) 331-4100

Interoperability endpoints

  • Direct secure messaging: dhazar12234@direct.acumenmd.com
  • Direct secure messaging: dhazar267523@direct.bmc.masshiway.net
  • Direct secure messaging: dhazar447840@direct.bilh.masshiway.net
  • Direct secure messaging: hazar.derya.mgh@direct.partners.masshiway.net

Organizations & group practices 9

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 8

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1659475366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE ST",
            "address_2": "STE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561680",
            "telephone_number": "617-739-2100",
            "fax_number": "617-296-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "address_2": "SUITE 2204",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245615",
            "telephone_number": "617-739-2100",
            "fax_number": "617-296-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZAR",
        "first_name": "DERYA",
        "middle_name": "BORA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "78328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

Verify at the official NPI Registry.