John Ahern
Individual provider Active NPI Family Medicine Physician · Cambridge, MA
NPI 1699397141 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1699397141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1014642 (MA)
- Practice address
- 163 Gore St
Cambridge, MA 02141-1119 - Phone
- (617) 665-3000
- NPI assigned
- May 7, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cambridge Public Health Commission
Practice addresses (Care Compare)
163 Gore St
Cambridge, MA 02141-1119
Phone (617) 665-3000
Hospital & facility affiliations
- Cambridge Health Alliance
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608001131 | MA | Practitioner - Family Practice | 3870950769 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current |
Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
163 Gore St
East Cambridge, MA 02141
Phone (617) 499-6690
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
195 Canal St
Malden, MA 02148
Phone (781) 338-0055
Interoperability endpoints
- jahern99463@direct.challiance.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Family Medicine Physician | 207Q00000X | 1014642 | MA | Yes |
Addresses
Primary practice location
163 Gore St
Cambridge, MA 02141-1119
Mailing address
195 Canal St
Malden, MA 02148-6701
Other practice location 1
195 Canal St
Malden, MA 02148-6701
Phone (781) 338-0500
Other providers in Cambridge, MA
- Agnis Pena-Toro Corp
- Hans R Agrawal
- Sita Anajis Agterberg
- Elizabeth R. Aguilo
- Jeneva Ahearn
- Karen L Ahlert
- Susan Ahlquist
- Isabella Indrani Ahmad
- Uswa Ahmad
- Alaaeldin Ahmed
All providers in Cambridge, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.