Organization Active NPI

Apex Medical Associates LLC

  • Internal Medicine Physician
  • Milton, MA
National Provider Identifier
1831526193
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242209 Issued in MA
Legal business name
APEX MEDICAL ASSOCIATES LLC
Practice address
100 Highland St Ste 103
Milton, MA 02186-3801
Phone
(617) 696-9600
Fax
(617) 453-5060
NPI assigned
Oct 2, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Saraswathi Venkata Muppana
Title
MD
Phone
(718) 374-1538

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242209 MA Primary
Pulmonary Disease Physician 207RP1001X 242209 MA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 242209 MA

Addresses

Primary practice location

100 Highland St Ste 103
Milton, MA 02186-3801

Mailing address

100 Highland St Ste 103
Milton, MA 02186-3801
Phone (617) 696-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171023001799 MA Part B Supplier - Clinic/Group Practice 6507132388 Receives reassigned benefits from 2 practitioners
Practice locations: Plymouth, MA; Milton, MA

National Provider Directory

National Provider Directory
Tax ID family
Apex Medical Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Highland St
Ste 103
Milton, MA 02186
Phone (617) 696-9600

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1831526193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 103",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863801",
            "telephone_number": "617-696-9600",
            "fax_number": "617-453-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 103",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863801",
            "telephone_number": "617-696-9600",
            "fax_number": "617-453-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "MUPPANA",
        "authorized_official_first_name": "SARASWATHI",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-374-1538"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "242209",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "242209",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "242209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.

Verify at the official NPI Registry.