John Barravecchio, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

049287 Issued in MA

Practice address

26 Houston Ave
Milton, MA 02186

Phone

(617) 364-4380

Fax

(617) 364-7363

NPI assigned

Sep 26, 2006

Last updated

Jul 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John Barravecchio, MD

  • Internal Medicine Physician
  • Milton, MA
  • NPI 1770762395
  Authorized official Same address or phone
• Boston Home Inc

  dba The Boston Home Inc

  • Skilled Nursing Facility
  • Boston, MA
  • NPI 1811990930
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1801997564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646",
            "fax_number": "508-230-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HOUSTON AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-364-4380",
            "fax_number": "617-364-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAVECCHIO",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "049287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116793",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is (APHMFP - Pathology)
• Elizabeth Austin Avery, MS RD CSO LDN CNSC
• Kristan Marie Bagley Jones, MSW, LICSW
• Marietta M Bague, M.D.
• Felicia Barbosa
• Anne Marie Barrett, MS RN CS
• George L Barrett, MD
• Anne-Marie Barron, PHD, RN, PMHCNS-BC
• Katharine McGuinness Barron, LICSW
• Shaylah Bartlett, OTR/L

• Internal Medicine Physician in Milton, MA
• Providers in Milton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.