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
- Last updated
- Mar 25, 2024
- 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 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).
-
dba Mass General Physicians Org/Sports Medicine
- 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 69)
8700 Warner Ave
Ste 140
Fountain Vly, CA 92708
Phone (714) 847-6727
5 Bon Air Rd
Ste 101
Larkspur, CA 94939
Phone (415) 924-1214
444 S San Vicente Blvd
Ste 800900
Los Angeles, CA 90048
1001 Potrero Ave
Bldg 25
San Francisco, CA 94110
Phone (628) 206-8000
1500 Owens St
Ste 200
San Francisco, CA 94158
Phone (415) 353-9400
2655 S Le Jeune Rd
Ste 512
Miami, FL 33134
1 Bowdoin Sq
Boston, MA 02114
Phone (617) 726-1444
100 Blossom St
Boston, MA 02114
Phone (617) 724-8770
100 Blossom St
Fl 3
Boston, MA 02114
Phone (617) 726-8650
101 Merrimac St
Fl 10
Boston, MA 02114
101 Merrimac St
Ste 1000
Boston, MA 02114
Phone (617) 724-1100
101 Merrimac St
Ste 290
Boston, MA 02114
125 Nashua St
Ste 324
Boston, MA 02114
Phone (617) 643-6090
15 Parkman St
#2
Boston, MA 02114
Phone (617) 726-1745
15 Parkman St
#240
Boston, MA 02114
Phone (617) 724-4800
15 Parkman St
#4
Boston, MA 02114
Phone (617) 724-3564
15 Parkman St
#467
Boston, MA 02114
Phone (617) 726-2884
15 Parkman St
#5
Boston, MA 02114
Phone (617) 724-2823
15 Parkman St
Ste 464
Boston, MA 02114
16 Blossom St
Boston, MA 02114
Phone (617) 643-1012
165 Cambridge St
Ste 501
Boston, MA 02114
Phone (617) 726-4600
17 High St Charlestown Healthcar
Boston, MA 02212
175 Cambridge St
#4
Boston, MA 02114
Phone (617) 729-7797
185 Cambridge St
Boston, MA 02114
Phone (617) 643-3181
243 Charles St
Ste 1107
Boston, MA 02114
Phone (617) 273-5699
Practitioners & affiliated clinicians
Practitioners 6,902
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1215927678
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1962791558
-
- Anesthesiology Physician
- Boston, MA
- NPI 1699120550
-
- Internal Medicine Physician
- Boston, MA
- NPI 1922099621
-
- Surgical Physician Assistant
- Boston, MA
- NPI 1760884688
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1316935299
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1497137590
Internal Medicine, NH
-
- General Practice Dentistry
- Boston, MA
- NPI 1427543610
Oral & Maxillofacial Surgery
-
- Hematology & Oncology Physician
- Boston, MA
- NPI 1255821617
-
- Gastroenterology Physician
- Boston, MA
- NPI 1811988488
-
- Child & Adolescent Psychiatry Physician
- Boston, MA
- NPI 1689665234
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": [],
"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 (Bridge Clinic)
- Massachusetts General Physicians Organization (MGH Dental Group)
- Massachusetts General Physicians Organization
- Massachusetts General Physicians Organization, Inc (Vincent Reporductive Medicine and Ivf)
- Massachusetts General Physicians Organization, Inc (Mass General Physicians Org/Sports Medicine)
- 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.