Individual provider Active NPI

Martin A Bielawski, M.D.

  • Neurology Physician
  • Framingham, MA
National Provider Identifier
1740369685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
38415 Issued in MA
Practice address
463 Worcester Rd
Suite 101
Framingham, MA 01701-5356
Phone
(508) 879-0888
Fax
(508) 626-1985
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 38415 MA Primary

Addresses

Primary practice location

463 Worcester Rd
Suite 101
Framingham, MA 01701-5356

Mailing address

463 Worcester Rd
Suite 101
Framingham, MA 01701-5356
Phone (508) 879-0888

Other identifiers 7

IdentifierTypeStateIssuer
20256OtherMAFALLON
2061139MedicaidMA
00199OtherMANEIGHBORHOOD HEALTH PLAN
48747OtherMAAETNA/US HEALTHCARE
038415OtherMDTUFTS HEALTH PLAN
2000000018OtherMAHARVARD PILGRIM HEALTH PL
130010185OtherMARAILROAD RETIREMENT MEDIC

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
I20090313000172 MA Practitioner - Neurology 9931287638 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38415MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Neurology Associates, Inc Neurology CurrentSince May 28, 2019 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

463 Worcester Rd
Ste 101
Framingham, MA 01701
Phone (508) 879-0888

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740369685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD",
            "address_2": "SUITE 101",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015356",
            "telephone_number": "508-879-0888",
            "fax_number": "508-626-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD",
            "address_2": "SUITE 101",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015356",
            "telephone_number": "508-879-0888",
            "fax_number": "508-626-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELAWSKI",
        "first_name": "MARTIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "38415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "20256",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061139",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "00199",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "48747",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "038415",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH PL",
            "identifier": "2000000018",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT MEDIC",
            "identifier": "130010185",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.