Individual provider Active NPI

Anthony Gibran Eaton, M.D.

  • Internal Medicine Physician
  • Newburyport, MA
National Provider Identifier
1831193101
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220078 Issued in MA
Practice address
21 Highland Ave Ste 24
Newburyport, MA 01950-3873
Phone
(978) 462-1555
Fax
(978) 462-1560
NPI assigned
Jun 2, 2005
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220078 MA Primary

Addresses

Primary practice location

21 Highland Ave Ste 24
Newburyport, MA 01950-3873

Mailing address

21 Highland Ave Ste 24
Newburyport, MA 01950-3873
Phone (978) 462-1555

Other identifiers 4

IdentifierTypeStateIssuer
2061546MedicaidMA
469196OtherMATUFTS HEALTH PLAN
J27682OtherMABLUE CROSS BLUE SHIELD
AA13929OtherMAHARVARD PILGRIM HEALTHCAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040713000865 MA Practitioner - Internal Medicine 9931187101 Reassigns benefits to 3 organizations
I20210617000523 NH Practitioner - Internal Medicine 9931187101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

21 Highland Ave
Suite 24
Newburyport, MA 01950-3873
Phone (978) 462-1555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Vantage Healthcare LLC Internal Medicine CurrentSince Jan 2, 2021 Accepting new patients
Haverhill Family Office, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Pentucket Medical Associates LLC PastSince May 17, 2009 Accepting new patients

Locations

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

62 Brown St
Ste 200
Haverhill, MA 01830
Phone (978) 478-5058

62 Brown St
Ste 502
Haverhill, MA 01830
Phone (978) 521-6555

60 East St
Ste 1400
Methuen, MA 01844
Phone (978) 689-0869

21 Highland Ave
Ste 24
Newburyport, MA 01950
Phone (508) 462-1555

22 Tuck Rd
Hampton, NH 03842
Phone (603) 926-4551

Interoperability endpoints

  • Direct secure messaging: anthony.eaton.1@32866.direct.athenahealth.com
  • Direct secure messaging: anthony.eaton.1@4025.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHAACD

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1831193101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 24",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-462-1555",
            "fax_number": "978-462-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 24",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-462-1555",
            "fax_number": "978-462-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "ANTHONY",
        "middle_name": "GIBRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "220078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061546",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "469196",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J27682",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA13929",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.