NPIMap

Organization Active NPI

Discover Health Medical Group Three, Inc.

  • Internal Medicine Physician
  • Waltham, MA
National Provider Identifier
1710601661
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DISCOVER HEALTH MEDICAL GROUP THREE, INC.
Practice address
210 Bear Hill Rd Ste 304
Waltham, MA 02451-1025
Phone
(781) 684-0600
NPI assigned
Oct 3, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Daniel Astrachan
Title
Vice President
Phone
(203) 376-9388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

210 Bear Hill Rd Ste 304
Waltham, MA 02451-1025

Mailing address

4575 Webb Bridge Rd Unit 4890
Alpharetta, GA 30005-4256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221220001232 MA Part B Supplier - Clinic/Group Practice 9234508904 Receives reassigned benefits from 4 practitioners
Practice locations: Waltham, MA

National Provider Directory

National Provider Directory

Locations

4575 Webb Bridge Rd
Unit 4890
Alpharetta, GA 30005

210 Bear Hill Rd
Ste 304
Waltham, MA 02451
Phone (781) 684-0600

Interoperability endpoints

  • Direct secure messaging: saie.david.ohc@direct.partners.masshiway.net
  • Direct secure messaging: santoro.erika.ohc@direct.partners.masshiway.net
  • Direct secure messaging: sobel.eve.ohc@direct.partners.masshiway.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1710601661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 WEBB BRIDGE RD UNIT 4890",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEAR HILL RD STE 304",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511025",
            "telephone_number": "781-684-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER HEALTH MEDICAL GROUP THREE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "ASTRACHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-376-9388"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.