Active NPI
Edward Shashoua, D.O.
- Internal Medicine Physician
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 217054
- Practice address
- 2500 Massachusetts Ave
Cambridge, MA 02140-1628 - Phone
- (617) 661-6225
- Fax
- (617) 492-2002
- NPI assigned
- Jul 19, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 217054 | MA | Primary |
Addresses
Primary practice location
2500 Massachusetts Ave
Cambridge, MA 02140-1628
Mailing address
2500 Massachusetts Ave
Cambridge, MA 02140-1628
Phone (617) 661-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020351 | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of New England, College of Osteo Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Oakland St
Wellesley, MA 02481-5338
Phone (781) 237-2161
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Beth Israel Deaconess Hospital - Needham
- Beth Israel Deaconess Medical Center
- Newton-Wellesley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care of Boston Management Corporation | Internal Medicine | Current | Accepting new patients |
| Marino Foundation for Integrative Medicine, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
125 Oakland St
Wellesley Hills, MA 02481
Phone (781) 237-2161
372 Washington St
Wellesley Hls, MA 02481
Phone (781) 235-5200
Interoperability endpoints
- eshashoua447848@direct.bilh.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Psychologist
- Cambridge, MA
- NPI 1477662237
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1811916802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401628",
"telephone_number": "617-661-6225",
"fax_number": "617-492-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401628",
"telephone_number": "617-661-6225",
"fax_number": "617-492-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHASHOUA",
"first_name": "EDWARD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "217054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020351",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.