Active NPI
Christine Lee Campbell-Reardon, M.D.
- Pulmonary Disease Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 73469
- Practice address
- 725 Albany St, Suite 9B
Shapiro BLDG
Boston, MA 02118-2526 - Phone
- (617) 638-7480
- Fax
- (617) 638-7486
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73469 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 73469 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 73469 | MA | Primary |
Addresses
Primary practice location
725 Albany St, Suite 9B
Shapiro BLDG
Boston, MA 02118-2526
Mailing address
960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3120321 | Medicaid | NH | |
| 110051865A | Medicaid | MA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Boston University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8000
72 E Newton St
CR Evans 124
Boston, MA 02118-2308
Phone (617) 638-7253
88 E Newton St
Boston, MA 02118-2308
Phone (617) 414-5405
Hospital & facility affiliations
- Boston Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Medical Foundation, Inc. | Internal Medicine | Current | Accepting new patients |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Quincy Physician Corporation | Internal Medicine | Past | Accepting new patients |
Locations
1 Boston Medical Ctr Pl
#1
Boston, MA 02118
Phone (617) 414-4929
960 Massachusetts Ave
Ste 2
Boston, MA 02118
88 Newton St
Boston, MA 02118
Phone (617) 638-7350
725 Albany St
Ste 9B
Boston, MA 02118
Phone (617) 414-4290
720 Harrison Ave
Boston, MA 02118
Phone (617) 638-7460
725 Albany St
Ste B
Boston, MA 02118
Phone (617) 638-7480
114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018
801 Albany St
Fl G
Roxbury, MA 02119
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
Interoperability endpoints
- ccampbellreardon9698@direct.bmc.masshiway.net
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Critical Care Medicine (Anesthesiology) Physician
- Quincy, MA
- NPI 1144426503
Internal Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1780669671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVENUE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY ST, SUITE 9B",
"address_2": "SHAPIRO BLDG",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182526",
"telephone_number": "617-638-7480",
"fax_number": "617-638-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL-REARDON",
"first_name": "CHRISTINE",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "73469",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "73469",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "73469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3120321",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110051865A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.