NPIMap

Organization Active NPI

Seasons Medical Group of Massachusetts, PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Norwood, MA
National Provider Identifier
1760738587
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
SEASONS MEDICAL GROUP OF MASSACHUSETTS, PC
Practice address
1 Edgewater Dr Ste 103
Norwood, MA 02062-4669
Phone
(617) 454-0200
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Carrie Bill
Title
Finance Director
Phone
(847) 692-1148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X MA Primary

Addresses

Primary practice location

1 Edgewater Dr Ste 103
Norwood, MA 02062-4669

Mailing address

6400 Shafer CT Ste 300a
Rosemont, IL 60018-4914

Other names 1

  • AccentCare Medical Group of Massachusetts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121231000258 MA Part B Supplier - Clinic/Group Practice 1052564994 Receives reassigned benefits from 15 practitioners
Practice locations: Burlington, MA; Norwood, MA

National Provider Directory

National Provider Directory

Locations

275 Grove St
Ste 3
Auburndale, MA 02466
Phone (617) 454-0200

20 Burlington Mall Rd
Ste 450
Burlington, MA 01803
Phone (617) 454-0200

20 Burlington Mall Rd
Burlington, MA 01803

597 Randolph Ave
Milton, MA 02186
Phone (617) 433-3100

1 Edgewater Dr
Ste 130
Norwood, MA 02062

1 Edgewater Dr
Ste 103
Norwood, MA 02062
Phone (617) 454-0200

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1760738587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 300A",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER DR STE 103",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624669",
            "telephone_number": "617-454-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS MEDICAL GROUP OF MASSACHUSETTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BILL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "847-692-1148"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccentCare Medical Group of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AccentCare Medical Group of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.