Individual provider Active NPI

Anna Mae Malouf, NP

  • Gerontology Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1699115865
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2269872 Issued in MA
Practice address
475 Franklin St
Suite 110
Framingham, MA 01702-6264
Phone
(508) 620-9200
Fax
(508) 620-6483
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN2269872 MA Primary

Addresses

Primary practice location

475 Franklin St
Suite 110
Framingham, MA 01702-6264

Mailing address

475 Franklin St
Suite 110
Framingham, MA 01702-6264
Phone (508) 620-9200

Other names 1

  • Anna Mae Meador Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023000465 MA Practitioner - Nurse Practitioner 6406081751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gbgastro LLCGroup PAC ID 4587909288, 22 clinicians
Greater Boston GastroenterologyGroup PAC ID 5991789802, 20 clinicians

Practice addresses (Care Compare)

475 Franklin St
Suite 110
Framingham, MA 01702-6265
Phone (508) 620-9200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2269872MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gbgastro LLC CurrentSince Jan 1, 2019 Accepting new patients
Gbgastro LLC Current Accepting new patients
Greater Boston Gastroenterology CurrentSince Sep 1, 2013 Accepting new patients

Locations

475 Franklin St
Ste 110
Framingham, MA 01702
Phone (508) 620-9200

Organizations & group practices 3

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 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1699115865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOUF",
        "first_name": "ANNA",
        "middle_name": "MAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2269872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MEADOR",
            "middle_name": "MAE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.