Active NPI
P Reed Larsen, MD
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
National Provider Identifier
1700842952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 37485
- Practice address
- 77 Avenue Louis Pasteur
Harvard Institutes of Medicine
Boston, MA 02115 - Phone
- (617) 525-5150
- Fax
- (617) 731-4718
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 37485 | MA | Primary |
Addresses
Primary practice location
77 Avenue Louis Pasteur
Harvard Institutes of Medicine
Boston, MA 02115
Mailing address
77 Avenue Louis Pasteur
Harvard Institutes of Medicine
Boston, MA 02115
Phone (617) 525-5150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038676 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1700842952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 AVENUE LOUIS PASTEUR",
"address_2": "HARVARD INSTITUTES OF MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-525-5150",
"fax_number": "617-731-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 AVENUE LOUIS PASTEUR",
"address_2": "HARVARD INSTITUTES OF MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-525-5150",
"fax_number": "617-731-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "P",
"middle_name": "REED",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "37485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038676",
"state": "MA"
}
],
"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 May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.