Active NPI
Dhrubajyoti Basu, M.D., MPH
- Internal Medicine Physician
- Norwood, MA
National Provider Identifier
1740450618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 235046
- Practice address
- 315 Norwood Park S
Norwood, MA 02062-4681 - Phone
- (857) 307-3900
- NPI assigned
- Mar 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 235046 | MA | |
| Internal Medicine Physician | 207R00000X | 235046 | MA | Primary |
Addresses
Primary practice location
315 Norwood Park S
Norwood, MA 02062-4681
Mailing address
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 1
10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800 ext. 4872
Other practice location 2
10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800 ext. 4872
Other practice location 3
6 Liana Ln
Dedham, MA 02026-4235
Phone (857) 210-9419
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235046 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhealth Corporation | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients |
Locations
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
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.
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740450618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 NORWOOD PARK S",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624681",
"telephone_number": "857-307-3900"
}
],
"practiceLocations": [
{
"address_1": "10 Gove St",
"address_purpose": "LOCATION",
"city": "East Boston",
"state": "MA",
"postal_code": "021281920",
"country_code": "US",
"telephone_number": "617-569-5800 x4872",
"fax_number": "617-568-4780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Gove St",
"address_purpose": "LOCATION",
"city": "East Boston",
"state": "MA",
"postal_code": "021281920",
"country_code": "US",
"telephone_number": "617-569-5800 x4872",
"fax_number": "617-568-4780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Liana Ln",
"address_purpose": "LOCATION",
"city": "Dedham",
"state": "MA",
"postal_code": "020264235",
"country_code": "US",
"telephone_number": "857-210-9419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASU",
"first_name": "DHRUBAJYOTI",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "235046",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "235046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.