Integra Primary Health Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INTEGRA PRIMARY HEALTH INC

Practice address

95 Washington St Ste 204
Canton, MA 02021-4009

Phone

(774) 578-7871

NPI assigned

Dec 13, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shahid AliNPI 1265711535

Title

Partner

Phone

(774) 578-7871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Shahid Ali, M.D.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1265711535
  Medicare reassignment Care Compare group NPD Authorized official
• Muhammad Ali Haider Bajwa, M.D.

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1558627455

  MA

  Medicare reassignment Care Compare group NPD
• Amer Nazir, MD

  • Internal Medicine Physician
  • Weymouth, MA
  • NPI 1487911996
  Medicare reassignment NPD

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1669289583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 204",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "774-578-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 204",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "774-578-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA PRIMARY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "774-578-7871"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iccd Partners
• Iccd Partners, LLP (Integrated Center for Child Development)
• Iccd Partners, LLP
• Rachael Kikelomo Idemudia
• Cynthia Howe Innes, DMD
• Integrated Center for Child Development
• Katie Jennings, BS
• Jerusalem Home Care LLC
• John D. Kaplan, P.C.
• Caroline Elizabeth Johnson

• Primary Care Clinic/Center in Canton, MA
• Providers in Canton, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.