Individual provider Active NPI

Nelofer Humayon, MD

  • Internal Medicine Physician
  • Foxboro, MA
National Provider Identifier
1861611089
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246217 Issued in MA
Practice address
113 Washington St
Foxboro, MA 02035-1332
Phone
(774) 215-5579
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 246217 MA Primary

Addresses

Primary practice location

113 Washington St
Foxboro, MA 02035-1332

Mailing address

113 Washington St
Foxboro, MA 02035-1332
Phone (774) 215-5579

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140710001187 MA Practitioner - Internal Medicine 5092930834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizon LLCGroup PAC ID 8628222023, 10 clinicians

Practice addresses (Care Compare)

113 Washington St
Foxboro, MA 02035-1496
Phone (781) 269-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon LLC CurrentSince Mar 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 31, 2014 Accepting new patients
Woonsocket Urgent Care, PC Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 31, 2014 Accepting new patients
Woonsocket Urgent Care PC Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients

Locations

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

103 Providence Hwy
East Walpole, MA 02032
Phone (781) 255-0500

113 Washington St
Ste 1
Foxboro, MA 02035
Phone (774) 215-5579

113 Washington St
Foxborough, MA 02035
Phone (508) 543-1553

62 Brown St
Ste 506
Haverhill, MA 01830
Phone (978) 722-7897

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1861611089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WASHINGTON ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351332",
            "telephone_number": "774-215-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WASHINGTON ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351332",
            "telephone_number": "774-215-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMAYON",
        "first_name": "NELOFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "246217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.