Organization Active NPI

Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1801874573
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Marcela G Del CarmenNPI 1215927678
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)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X
Critical Care Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LC0200X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
110000037/CMedicaidMA
687920OtherMATUFTS HEALTH PLAN
CA6247OtherMARAILROAD MEDICARE
M10002OtherMABLUE CROSS BLUE SHIELD MA

Other names 1

  • Mass General Physicians Organization Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, DC, GA, WA, AR, MI, MO, CA, FL, CT, TX, IL13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory

Locations (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.

View all 6,927

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

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.

Verify at the official NPI Registry.