Inner Healing Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INNER HEALING MEDICAL PLLC

Practice address

465 Waverley Oaks Rd Ste 201
Waltham, MA 02452-8489

Phone

(781) 614-7800

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Sara Raimundo

Title

VP of Operations and Member Service

Phone

(781) 614-7800

Specialties & licenses 1

Addresses

Other names 1

• Inner Healing Medical Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marianela Lavena, M.D.

  • Family Medicine Physician
  • Bolton, MA
  • NPI 1760647770
  Medicare reassignment Care Compare group NPD
• Stephen Roberts, MD

  • Family Medicine Physician
  • Weymouth, MA
  • NPI 1275828121
  Medicare reassignment Care Compare group NPD
• Ziesl Maayan, FNP-C

  • Family Nurse Practitioner
  • Dedham, MA
  • NPI 1669890521
  Medicare reassignment Care Compare group
• Melissa Anne Heffron, NP

  • Registered Nurse
  • Worcester, MA
  • NPI 1912619545
  Medicare reassignment NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1700566635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MOON HILL RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216112",
            "telephone_number": "781-614-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WAVERLEY OAKS RD STE 201",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528489",
            "telephone_number": "781-614-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 Main St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024525568",
            "country_code": "US",
            "telephone_number": "781-614-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER HEALING MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "RAIMUNDO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "VP OF OPERATIONS AND MEMBER SERVICE",
        "authorized_official_telephone_number": "781-614-7800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Healing Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.