Individual provider Active NPI

Anna Ham, DO

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1740355981
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206571 Issued in MA
Practice address
2067 Mass Ave
Cha - Cambridge Family Health North
Cambridge, MA 02140-1340
Phone
(617) 575-5570
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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 206571 MA Primary

Addresses

Primary practice location

2067 Mass Ave
Cha - Cambridge Family Health North
Cambridge, MA 02140-1340

Mailing address

2067 Massachusetts Ave
Cha - Cambridge Family Health North
Cambridge, MA 02140-1340
Phone (617) 575-5570

Other identifiers 2

IdentifierTypeStateIssuer
J24401OtherMABCBS MA
2111268MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001049 MA Practitioner - Internal Medicine 1355374257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2067 Massachusetts Ave
Cambridge, MA 02140-1340
Phone (617) 575-5570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206571MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Sep 1, 2005 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients

Locations

237 Hampshire St
Cambridge, MA 02139
Phone (617) 575-5570

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

1493 Cambridge St
#B10
Cambridge, MA 02139
Phone (617) 665-1616

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

266B Rindge Ave
North Cambridge, MA 02140
Phone (617) 665-3340

2067 Massachusetts Ave
North Cambridge, MA 02140
Phone (617) 575-5550

Interoperability endpoints

  • Direct secure messaging: aham307@direct.challiance.masshiway.net

Organizations & group practices 2

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 4

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1740355981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 MASSACHUSETTS AVE",
            "address_2": "CHA - CAMBRIDGE FAMILY HEALTH NORTH",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401340",
            "telephone_number": "617-575-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 MASS AVE",
            "address_2": "CHA - CAMBRIDGE FAMILY HEALTH NORTH",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401340",
            "telephone_number": "617-575-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "ANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "206571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J24401",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111268",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.