Active NPI
Peter M Yeracaris, M.D.
- Family Medicine Physician
- East Cambridge, MA
National Provider Identifier
1801976543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 157285
- Practice address
- 163 Gore St
East Cambridge, MA 02141-1119 - Phone
- (617) 665-3000
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 157285 | MA | Primary |
Addresses
Primary practice location
163 Gore St
East Cambridge, MA 02141-1119
Mailing address
163 Gore St
East Cambridge, MA 02141-1119
Phone (617) 665-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1211978 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1801976543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 GORE ST",
"city": "EAST CAMBRIDGE",
"state": "MA",
"postal_code": "021411119",
"telephone_number": "617-665-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 GORE ST",
"city": "EAST CAMBRIDGE",
"state": "MA",
"postal_code": "021411119",
"telephone_number": "617-665-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERACARIS",
"first_name": "PETER",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "157285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1211978",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.