NPIMap

Individual provider Active NPI

Shunian He, MD

  • Internal Medicine Physician
  • Marlborough, MA
National Provider Identifier
1740207471
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206099 Issued in MA
Practice address
640 Bolton St
Marlborough, MA 01752-3999
Phone
(508) 481-2890
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 206099 MA Primary

Addresses

Primary practice location

640 Bolton St
Marlborough, MA 01752-3999

Mailing address

116 Canterbury Hill Rd
Acton, MA 01720-4924
Phone (774) 437-8887

Other identifiers 1

IdentifierTypeStateIssuer
2132079MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000172 MA Practitioner - Internal MedicinePractitioner - Addiction Medicine 4183623770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. He'S Primary Care for Adults IncGroup PAC ID 9234322629, 2 clinicians

Practice addresses (Care Compare)

28 Lord Rd
Suite 255
Marlborough, MA 01752-4549
Phone (508) 481-2890

Hospital & facility affiliations

  • Preferred Transitions Home Health Care Inc Home health agency, Milford, MA, CCN 227666
  • Vna and Hospice of Greater Milford Home health agency, Milford, MA, CCN 227063
  • West River Home Health Home health agency, Newton, MA, CCN 227456
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Metrowest Homecare and Hospice, an Amedisys Company Home health agency, Marlborough, MA, CCN 227050
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. He'S Primary Care for Adults Inc Internal Medicine CurrentSince Nov 1, 2010 Accepting new patients
Premier Diagnostic Services, Inc Past Accepting new patients
Riverside Medical Group PC Internal Medicine PastSince May 28, 1997 Accepting new patients

Locations

28 Lord Rd
Ste 255
Marlborough, MA 01752
Phone (508) 481-2890

640 Bolton St
Marlborough, MA 01752
Phone (508) 281-5953

Interoperability endpoints

  • Direct secure messaging: shunian_he@drhespc.amazing-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1740207471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CANTERBURY HILL RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204924",
            "telephone_number": "774-437-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523999",
            "telephone_number": "508-481-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "SHUNIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "206099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2132079",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.