NPIMap

Organization Active NPI

Mass General Brigham Urgent Care LLC

  • Urgent Care Clinic/Center
  • Brookline, MA
National Provider Identifier
1720486830
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MASS GENERAL BRIGHAM URGENT CARE LLC
Practice address
1285 Beacon St
Brookline, MA 02446-5284
Phone
(617) 751-6205
Fax
(512) 485-7393
NPI assigned
Dec 5, 2014
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Niyum Gandhi
Title
Cfo
Phone
(617) 278-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1285 Beacon St
Brookline, MA 02446-5284

Mailing address

399 Revolution Dr
Somerville, MA 02145-1484
Phone (617) 751-6205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150605002309 MA Part B Supplier - Clinic/Group Practice 9436470119 Receives reassigned benefits from 224 practitioners
2 other NPIs on this enrollment
Practice locations: Boston, MA; Brookline, MA; Lynn, MA; Natick, MA; Newton, MA; Westwood, MA; Woburn, MA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2092084Mass General Brigham Express Care (Brookline)1285 Beacon Street, Ste 100, Brookline, MA 02446Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

137 Stuart St
Ste A7
Boston, MA 02116
Phone (617) 393-5059

Practitioners & affiliated clinicians

Practitioners 238

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 238

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1720486830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451484",
            "telephone_number": "617-751-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465284",
            "telephone_number": "617-751-6205",
            "fax_number": "512-485-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "NIYUM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-278-1085"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.