NPIMap

Organization Active NPI

Atrius Health, Inc.

Doing business as Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Billerica, MA
National Provider Identifier
1689097206
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATRIUS HEALTH, INC.
Doing business as
Harvard Vanguard Medical Associates
Practice address
790 Boston Rd
Billerica, MA 01821-5938
Phone
(781) 505-8700
NPI assigned
Feb 3, 2014
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Daniel Burnes
Title
Interim Chief Executive Officer
Phone
(617) 559-8393

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Clinical Social Worker 1041C0700X NU
Internal Medicine Physician 207R00000X NU Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Infectious Disease Physician 207RI0200X NU

Addresses

Primary practice location

790 Boston Rd
Billerica, MA 01821-5938

Mailing address

275 Grove St
Suite 3-300
Auburndale, MA 02466-2272
Phone (617) 559-8374

Other names 1

  • Harvard Vanguard Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000582 MA Part B Supplier - Clinic/Group Practice 4789588641 Receives reassigned benefits from 1,451 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, MA; Norwood, MA; Peabody, MA; Plymouth, MA; Quincy, MA; Cambridge, MA; Somerville, MA; South Easton, MA…

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

National Provider Directory

National Provider Directory

Locations

20 Wall St
Burlington, MA 01803
Phone (781) 221-2500

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1689097206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GROVE ST",
            "address_2": "SUITE 3-300",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662272",
            "telephone_number": "617-559-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215938",
            "telephone_number": "781-505-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "BURNES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-559-8393",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvard Vanguard Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.