Individual provider Active NPI

Monica Elizabeth Chavez, MD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1669535340
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233895-1 Issued in NY
Practice address
736 Cambridge St
Boston, MA 02135-2907
Phone
(617) 562-7533
Fax
(617) 562-7530
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233895-1 NY Primary
Internal Medicine Physician 207R00000X 223351 MA

Addresses

Primary practice location

736 Cambridge St
Boston, MA 02135-2907

Mailing address

736 Cambridge St
Boston, MA 02135-2907
Phone (617) 562-7533

Other identifiers 1

IdentifierTypeStateIssuer
02639783MedicaidNY

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
I20080207000043 MA Practitioner - Internal MedicinePractitioner - Hospitalist 0446297659 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

77 Warren St
Revere Medical Health Care at Brighton Mari
Brighton, MA 02135-3683
Phone (617) 562-5525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233895-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Dec 21, 2024 Accepting new patients
Steward St. Elizabeth's Medical Center of Boston, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward St. Elizabeth's Medical Center of Boston, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
Steward Medical Group Inc. Past Accepting new patients
Maimonides Department of Psychiatry FPP Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

77 Warren St
Ste 1
Brighton, MA 02135

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: monica.chavez.1@32866.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1669535340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-7533",
            "fax_number": "617-562-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-7533",
            "fax_number": "617-562-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MONICA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233895-1",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02639783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.