Active NPI
Nicolette C Fontaine, MD
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 208376
- Practice address
- 50 Staniford St Ste 300
Boston, MA 02114-2542 - Phone
- (617) 724-8050
- Fax
- (617) 724-8067
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- 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 | 208376 | MA | Primary |
Addresses
Primary practice location
50 Staniford St Ste 300
Boston, MA 02114-2542
Mailing address
50 Staniford St Ste 300
Boston, MA 02114-2542
Phone (617) 724-8050
Other names 1
- Nicolette C Carvil
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 Massachusetts Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 Staniford St
Boston, MA 02114-2517
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Massachusetts General Hospital
- Brigham and Women'S Hospital
- Brigham and Women Faulkner Hospital
- North Shore Medical Center -
- Massachusetts Eye and Ear Infirmary -
- Spaulding Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6781 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Internal Medicine | Current | Accepting new patients |
| Atrius Health, Inc. | Internal Medicine | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Caritas St. Elizabeth'S Medical Center | Past | Accepting new patients |
Locations
77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
50 Staniford St
Ste 300
Boston, MA 02114
Phone (617) 724-3211
55 Fruit St
Boston, MA 02114
50 Staniford St
Fl 3
Boston, MA 02114
Phone (617) 726-3558
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
291 Independence Dr
Chestnut Hill, MA 02467
Phone (617) 325-2800
2 Essex Center Dr
Ste 1
Peabody, MA 01960
Phone (978) 977-4000
1250 Hancock St
Quincy, MA 02169
Phone (617) 774-0600
Interoperability endpoints
- fontaine.nicolette.mgh@direct.partners.masshiway.net
Organizations & group practices 6
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Internal Medicine Physician
- Quincy, MA
- NPI 1245444900
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Specialist
- Brighton, MA
- NPI 1770574527
Hospital & facility affiliations 8
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 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1841287174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STANIFORD ST STE 300",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142542",
"telephone_number": "617-724-8050",
"fax_number": "617-724-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STANIFORD ST STE 300",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142542",
"telephone_number": "617-724-8050",
"fax_number": "617-724-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "NICOLETTE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "208376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLETTE",
"last_name": "CARVIL",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.