NPIMap

Organization Active NPI

Piction Health Medical Group, P.a.

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1700585387
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PICTION HEALTH MEDICAL GROUP, P.A.
Practice address
55 Court St FL 2
Boston, MA 02108-2111
Phone
(617) 902-0443
NPI assigned
Mar 2, 2023
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Niraj Patel, DONPI 1255726865
Title
President
Phone
(617) 902-0443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

55 Court St FL 2
Boston, MA 02108-2111

Mailing address

55 Court St FL 2
Boston, MA 02108-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230901001815 MA Part B Supplier - Clinic/Group Practice 4486017894 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA
O20230918002368 CT Part B Supplier - Clinic/Group Practice 4486017894 Receives reassigned benefits from 3 practitioners
Practice locations: Rocky Hill, CT

National Provider Directory

National Provider Directory

Locations

55 Court St
Boston, MA 02108

55 Court St
Fl 12
Boston, MA 02108

55 Court St
Fl 2
Boston, MA 02108
Phone (617) 902-0443

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1700585387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COURT ST FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COURT ST FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082111",
            "telephone_number": "617-902-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICTION HEALTH MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-902-0443",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.