Active NPI
Massachusetts General Physicians Organization Inc
- Dermatology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC
- Practice address
- 55 Fruit St
Bul 2
Boston, MA 02114-2621 - Phone
- (617) 724-0287
- Fax
- (617) 228-4315
- NPI assigned
- Jan 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcela G Del Carmen
- Title
- President & Ceo
- Phone
- (617) 487-3519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | |||
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | |||
| Dermatology Physician | 207N00000X | Primary | ||
| Emergency Medicine Physician | 207P00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Pediatrics Physician | 208000000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Neurology Physician | 2084N0400X | |||
| Psychiatry Physician | 2084P0800X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
55 Fruit St
Bul 2
Boston, MA 02114-2621
Mailing address
PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 726-2040
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110000037/C | Medicaid | MA | |
| 687920 | Other | MA | TUFTS HEALTH PLAN |
| CA6247 | Other | MA | RAILROAD MEDICARE |
| M10002 | Other | MA | BLUE CROSS BLUE SHIELD MA |
Other names 1
- Mass General Physicians Organization Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH, DC, GA, WA, AR, MI, MO, CA, FL, CT, TX, IL
Enrollment records 13
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000434 | MA | Part B Supplier - Clinic/Group Practice | 2466365820 | Receives reassigned benefits from 6,567 practitioners |
| O20080324000141 | NH | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 214 practitioners Practice locations: Dover, NH; Stratham, NH; Somersworth, NH; Salem, NH; Portsmouth, NH; Nashua, NH; Exeter, NH |
| O20210204000864 | DC | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 2 practitioners Practice locations: Bethesda, MD; Washington, DC |
| O20231113000174 | GA | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Decatur, GA |
| O20240405001221 | WA | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Tacoma, WA |
| O20240422000045 | AR | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Vilonia, AR |
| O20240430000679 | MI | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Superior Township, MI |
| O20240430001182 | MO | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Louis, MO |
| O20240510001401 | CA | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 2 practitioners Practice locations: Oakland, CA; San Francisco, CA |
| O20240520000358 | FL | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Miami, FL |
| O20250616000122 | CT | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Norwalk, CT |
| O20250718003492 | TX | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: San Antonio, TX |
| O20260528001637 | IL | Part B Supplier - Clinic/Group Practice | 2466365820 |
Receives reassigned benefits from 1 practitioner Practice locations: Hinsdale, IL |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Boston, MA
- NPI 1306186523
2466365820
-
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
- NPI 1326766205
2466365820
-
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
- NPI 1942691803
2466365820
National Provider Directory
National Provider DirectoryLocations (25 of 81)
1211 W La Palma Ave
Anaheim, CA 92801
Phone (714) 288-8887
11234 Anderson St
#B121
Loma Linda, CA 92350
Phone (909) 558-8056
100 Medical Plz
Ste 170
Los Angeles, CA 90095
Phone (415) 353-2808
335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800
955 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 753-5800
1500 Owens St
Fl 3
San Francisco, CA 94158
3475 Torrance Blvd
Ste E
Torrance, CA 90503
Phone (424) 284-8688
8700 Beverly Blvd
Fl 8
West Hollywood, CA 90048
8700 Beverly Blvd
#290
West Hollywood, CA 90048
Phone (310) 423-1447
2655 S Le Jeune Rd
Ste 512
Miami, FL 33134
55 Fruit St
#6C
Boston, MA 02114
Phone (617) 726-2730
55 Fruit St
#216
Boston, MA 02114
Phone (617) 724-4255
16 Blossom St
Boston, MA 02114
Phone (617) 643-1012
60 Staniford St
Boston, MA 02114
Phone (617) 643-4695
55 Fruit St
#7
Boston, MA 02114
Phone (617) 724-2241
294 Washington St
Ste 210
Boston, MA 02108
Phone (617) 724-3313
175 Cambridge St
#4
Boston, MA 02114
Phone (617) 729-7797
25 New Chardon St
Ste 301
Boston, MA 02114
Phone (617) 726-1843
50 Staniford St
Fl 2
Boston, MA 02114
Phone (617) 724-6960
55 Fruit St
Ste YAW9E
Boston, MA 02114
55 Fruit St
Ste 2
Boston, MA 02114
346 Congress St
Boston, MA 02210
55 Fruit St
#6E
Boston, MA 02114
Phone (617) 726-7717
17 High St Charlestown Healthcar
Boston, MA 02212
101 Merrimac St
Ste 290
Boston, MA 02114
Practitioners & affiliated clinicians
Practitioners 6,927
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1215927678
MA, Obstetrics & Gynecology
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1962791558
Emergency Medicine, MA
-
- Internal Medicine Physician
- Boston, MA
- NPI 1922099621
Internal Medicine, MA
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1316935299
Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1497137590
Internal Medicine, MA, NH
-
- General Practice Dentistry
- Boston, MA
- NPI 1427543610
MA, Oral & Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1801874573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9142",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-726-2040",
"fax_number": "617-726-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "BUL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-0287",
"fax_number": "617-228-4315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "DEL CARMEN",
"authorized_official_first_name": "MARCELA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "617-487-3519"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110000037/C",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "687920",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA6247",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "M10002",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mass General Physicians Organization Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boston, MA
- Massachusetts General Hospital
- Massachusetts General Hospital Oral & Maxillofacial Surgery
- Massachusetts General Physicians Organization
- Massachusetts General Physicians Organization
- Massachusetts General Physicians Organization
- Massachusetts General Physicians Organization, Inc
- Massachusetts General Physicians Organization, Inc
- Massachusetts Interlocal Insurance Association
- Massachusetts Luna Care Physical Therapy LLC
- Massachusetts Medical Specialists PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.