Individual provider Active NPI

Eric S Davidson, MD

  • Cardiovascular Disease Physician
  • Framingham, MA
National Provider Identifier
1669437513
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
222966 Issued in MA
Practice address
99 Lincoln Street
Framingham, MA 01702
Phone
(508) 875-4811
Fax
(508) 875-5942
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 222966 MA Primary

Addresses

Primary practice location

99 Lincoln Street
Framingham, MA 01702

Mailing address

99 Lincoln Street
Framingham, MA 01702
Phone (508) 875-4811

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
I20050902000142 MA Practitioner - Cardiovascular Disease (Cardiology) 5799717427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Heart Center of Metrowest, Inc.Group PAC ID 9931150166, 16 clinicians

Practice addresses (Care Compare)

24 Newton St
Southborough, MA 01772-1215
Phone (508) 486-4472

99 Lincoln St
Framingham, MA 01702-6327
Phone (508) 875-4811

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Heart Center of Metrowest Inc Cardiovascular Disease CurrentSince Jul 1, 2009 Accepting new patients

Locations

99 Lincoln St
Framingham, MA 01702
Phone (508) 875-4811

761 Worcester Rd
Framingham, MA 01701
Phone (508) 872-1107

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

24 Newton St
Southborough, MA 01772
Phone (508) 460-3190

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Interoperability endpoints

  • Direct secure messaging: eric.davidson.npi1669437513.reliant@direct.optumcare.masshiway.net
  • Direct secure messaging: edavidson48120@tuftsmedicine.direct-ci.com

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 5

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1669437513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LINCOLN STREET",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-875-4811",
            "fax_number": "508-875-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LINCOLN STREET",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-875-4811",
            "fax_number": "508-875-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "222966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.