NPIMap

Individual provider Active NPI

Nibal A Harati, M.D.

  • Internal Medicine Physician
  • Quincy, MA
National Provider Identifier
1861597254
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230063 Issued in MA
Practice address
205 Parkingway
Quincy, MA 02169
Phone
(617) 820-5968
Fax
(833) 471-5603
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 230063 MA Primary

Addresses

Primary practice location

205 Parkingway
Quincy, MA 02169

Mailing address

95 Tremont St
Suite 10
Duxbury, MA 02332-4738
Phone (781) 934-0060

Other practice location 1

301 Columbia Rd
Boston, MA 02121-3409
Phone (617) 237-6838

Other practice location 2

179 Quincy St Ste 2
Brockton, MA 02302-2966
Phone (508) 283-3154

Other practice location 3

95 Tremont St
Suite 10
Duxbury, MA 02332-4738
Phone (781) 934-0060

Other practice location 4

50 Boston St
Lynn, MA 01904-2538
Phone (781) 342-4191

Other identifiers 6

IdentifierTypeStateIssuer
2127172MedicaidMA
495429OtherMATUFTS HEALTH PLAN
491600OtherMAUS FAMILY HEALTH
J40839OtherMABLUE CROSS BLUE SHIELD
000000036507OtherMABMC HEALTHNET
AA73517OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000290 MA Practitioner - Internal Medicine 5890793343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gather Health Primary Care of Massachusetts PCGroup PAC ID 3577932920, 15 clinicians

Practice addresses (Care Compare)

205 Parkingway
Quincy, MA 02169-5029
Phone (617) 820-5968

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jan 31, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 31, 2020 Accepting new patients
Gather Health Primary Care of Massachusetts PC CurrentSince Jul 1, 2024 Accepting new patients
Carney Medical Group Past Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine Past Accepting new patients
Springfield Hospital Inc Internal Medicine PastSince Jul 1, 2024 Accepting new patients
Atrius Health, Inc. Internal Medicine Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

179 Quincy St
Ste 2
Brockton, MA 02302
Phone (508) 283-3154

301 Columbia Rd
Dorchester, MA 02121
Phone (617) 237-6838

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

50 Boston St
Lynn, MA 01904
Phone (781) 342-4191

744 E Squantum St
Quincy, MA 02171
Phone (617) 820-5968

205 Parkingway
Quincy, MA 02169
Phone (617) 820-5968

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26984/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nibal.harati.1@26984.direct.athenahealth.com

Organizations & group practices 8

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 12

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1861597254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 TREMONT ST",
            "address_2": "SUITE 10",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324738",
            "telephone_number": "781-934-0060",
            "fax_number": "781-934-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARKINGWAY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-820-5968",
            "fax_number": "833-471-5603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021213409",
            "country_code": "US",
            "telephone_number": "617-237-6838",
            "fax_number": "833-450-5158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 Quincy St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022966",
            "country_code": "US",
            "telephone_number": "508-283-3154",
            "fax_number": "833-450-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Tremont St",
            "address_2": "SUITE 10",
            "address_purpose": "LOCATION",
            "city": "Duxbury",
            "state": "MA",
            "postal_code": "023324738",
            "country_code": "US",
            "telephone_number": "781-934-0060",
            "fax_number": "781-934-7006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Boston St",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019042538",
            "country_code": "US",
            "telephone_number": "781-342-4191",
            "fax_number": "833-450-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARATI",
        "first_name": "NIBAL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "230063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127172",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "495429",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FAMILY HEALTH",
            "identifier": "491600",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J40839",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000036507",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA73517",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.