Individual provider Active NPI

Maria Antonia Depina, MD

  • Internal Medicine Physician
  • S Weymouth, MA
National Provider Identifier
1699849208
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202949 Issued in MA
Practice address
541 Main St Ste 400
S Weymouth, MA 02190
Phone
(781) 952-1280
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C52344 CA
Internal Medicine Physician 207R00000X 202949 MA Primary

Addresses

Primary practice location

541 Main St Ste 400
S Weymouth, MA 02190

Mailing address

541 Main St Ste 400
S Weymouth, MA 02190-1889

Other practice location 1

541 Main St Ste 400
South Weymouth, MA 02190-1889
Phone (781) 952-1280

Other practice location 2

4601 Dale Rd
Modesto, CA 95356-9718
Phone (209) 557-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202949MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BT Chiropractic Health Center, Inc. Past Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1699849208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 400",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021901889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 400",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-952-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Main St Ste 400",
            "address_purpose": "LOCATION",
            "city": "South Weymouth",
            "state": "MA",
            "postal_code": "021901889",
            "country_code": "US",
            "telephone_number": "781-952-1280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Dale Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953569718",
            "country_code": "US",
            "telephone_number": "209-557-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPINA",
        "first_name": "MARIA",
        "middle_name": "ANTONIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52344",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "202949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.