Mass General Brigham Urgent Care LLC
Organization Active NPI Urgent Care Clinic/Center · Brookline, MA
NPI 1720486830 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1720486830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Niyum Gandhi
- Title
- Cfo
- Phone
- (617) 278-1085
Other NPIs on the same Medicare enrollment 2
Practitioners 238
-
Tarik Kalil Alkasab, M.D., PH.D.
-
Kayla Nichole Badt, PA-C
-
Emma Beckvold, NP
-
Jillian Buhler, M.D.
-
Ronald Richard Caruso, PA-C
-
Chereen Zakieh Chalak, MSN, APRN, FNP-BC
-
Harout Chouljian, PA
-
Kathleen Comeau, NP
-
Daniel Donovan, PA-C
-
Evan Charles Drainville, FNP-BC
-
Kerri Dupre, ATC, AEMT
-
Hannah Nicole Dygert, PAC
-
James Michael Ehrlich, DNP, FNP-BC
-
James Ennis, NP
-
Anna Feleke, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2092084 | Mass General Brigham Express Care (Brookline) | Certificate of waiver | Feb 25, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
137 Stuart St
Ste A7
Boston, MA 02116
Phone (617) 393-5059
137 Stuart St
Boston, MA 02116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1285 Beacon St
Brookline, MA 02446-5284
Mailing address
399 Revolution Dr
Somerville, MA 02145-1484
Phone (617) 751-6205
Other providers in Brookline, MA
- Isabella Martinez
- Nuria Martinez
- Rachel Martone
- George A Maryniuk
- Alana Maserjian
- Mass Optometric Associates, PLLC
- Massachusetts Neuro Intervention P.C.
- Christina N Massey
- Saneliso Masuku
- Donna Marie Mathias
All providers in Brookline, MA · Urgent Care Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.