Active NPI
David J Carlson, M.D.
- Internal Medicine Physician
- Milford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 227107
- Practice address
- 101 Cedar St
Milford, MA 01757-1101 - Phone
- (508) 634-5026
- Fax
- (508) 634-5005
- NPI assigned
- Sep 5, 2006
- Last updated
- Nov 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 227107 | MA | Primary |
| Pediatrics Physician | 208000000X | 227107 | MA |
Addresses
Primary practice location
101 Cedar St
Milford, MA 01757-1101
Mailing address
101 Cedar St
Milford, MA 01757-1101
Phone (508) 634-5026
Other practice location 1
24 Newton St
Southborough, MA 01772-1215
Phone (508) 460-3250
Other practice location 2
367 Plantation St
Worcester, MA 01605-2323
Phone (508) 334-1443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110077492A | Medicaid | MA | |
| 1100777492A | Medicaid | MA |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Cedar St
Milford, MA 01757-1101
Phone (508) 634-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
101 Cedar St
Milford, MA 01757
Phone (508) 634-5000
24 Newton St
Southborough, MA 01772
Phone (508) 460-3190
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
Organizations & group practices 2
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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1871695296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CEDAR ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571101",
"telephone_number": "508-634-5026",
"fax_number": "508-634-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CEDAR ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571101",
"telephone_number": "508-634-5026",
"fax_number": "508-634-5005"
}
],
"practiceLocations": [
{
"address_1": "24 Newton St",
"address_purpose": "LOCATION",
"city": "Southborough",
"state": "MA",
"postal_code": "017721215",
"country_code": "US",
"telephone_number": "508-460-3250",
"fax_number": "508-453-8152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "367 Plantation St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052323",
"country_code": "US",
"telephone_number": "508-334-1443",
"fax_number": "508-334-1448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "227107",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "227107",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110077492A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1100777492A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.