Active NPI
Gary T Robelen, MD
- Anesthesiology Physician
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 57401
- Practice address
- 736 Cambridge St
Dept of Anesthesiology CMP 2
Brighton, MA 02135-2907 - Phone
- (617) 789-2777
- Fax
- (617) 254-6384
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 57401 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Dept of Anesthesiology CMP 2
Brighton, MA 02135-2907
Mailing address
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3034739 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Wisconsin, 1984
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
99 Libbey Industrial Park
Weymouth, MA 02189-3101
Phone (781) 331-0537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57401 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
| Milford Anesthesia Consultants PC | Anesthesiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Capa Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Past | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Integrated Gastroenterology Consultants, PC | Anesthesiology | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
77 Warren St
Ste 336
Brighton, MA 02135
Phone (617) 783-4440
736 Cambridge St
#2
Brighton, MA 02135
Phone (617) 789-2777
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
70 East St
Methuen, MA 01844
Phone (978) 682-1906
14 Prospect St
Milford, MA 01757
Phone (508) 422-2343
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018
40 Holland St
Somerville, MA 02144
Phone (617) 629-6000
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1629723002
-
- Anesthesiology Physician
- Milford, MA
- NPI 1437784261
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Physical Therapist
- North Chelmsford, MA
- NPI 1396075123
Anesthesiology
-
- Specialist
- Watertown, MA
- NPI 1629398219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1699761007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 CANTON ST",
"address_2": "SUITE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902321",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "DEPT OF ANESTHESIOLOGY CMP 2",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2777",
"fax_number": "617-254-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBELEN",
"first_name": "GARY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "57401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3034739",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.