NPIMap

Individual provider Active NPI

Denise De Las Nueces, MD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1689832396
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246171 Issued in MA
Practice address
780 Albany St
Boston, MA 02118-2524
Phone
(857) 654-1000
Fax
(857) 654-1100
NPI assigned
May 29, 2008
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 246171 MA Primary

Addresses

Primary practice location

780 Albany St
Boston, MA 02118-2524

Mailing address

780 Albany St
Boston, MA 02118-2524
Phone (857) 654-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000567 MA Practitioner - Internal Medicine 6103077706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

112 Southampton St
Boston, MA 02118-2711
Phone (617) 534-2881

17 Court St
Boston, MA 02108-2601
Phone (617) 371-1723

363 Albany St
Boston, MA 02118-2503
Phone (857) 654-1865

444 Harrison Ave
Boston, MA 02118-2404
Phone (857) 654-1850

780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Health Care for the Homeless Program, Inc. CurrentSince Aug 29, 2012 Accepting new patients
Boston Health Care for the Homeless Program, Inc. CurrentSince Jul 9, 2012 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Evans Medical Foundation, Inc. Internal Medicine CurrentSince Feb 28, 2014 Accepting new patients

Locations

780 Albany St
Boston, MA 02118
Phone (857) 654-1000

780 Albany St
#2130
Boston, MA 02118

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

Interoperability endpoints

  • Direct secure messaging: ddelasnueces188610@direct.ochin.org
  • Direct secure messaging: ddelasnueces9990@direct.bmc.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McInnis Health GroupBoston, MA, CCN 221869 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupBoston, MA, CCN 221870 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupBoston, MA, CCN 221816 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupBoston, MA, CCN 221887 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupBoston, MA, CCN 221890 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupBoston, MA, CCN 221888 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupJamaica Plain, MA, CCN 221884 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupBoston, MA, CCN 221889 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupBoston, MA, CCN 221814 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012
McInnis Health GroupRoxbury, MA, CCN 221958 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Apr 14, 2026
Jul 9, 2012

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1689832396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182524",
            "telephone_number": "857-654-1000",
            "fax_number": "857-654-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182524",
            "telephone_number": "857-654-1000",
            "fax_number": "857-654-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LAS NUECES",
        "first_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "246171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.