Iora Health Massachusetts, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IORA HEALTH MASSACHUSETTS, P.C.

Practice address

912 River St Ste 201
Hyde Park, MA 02136-3715

Phone

(617) 452-2303

Fax

(617) 329-4726

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Rushika Fernandopulle, MD

Title

President

Phone

(617) 454-4672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Iora Health Massachusetts PC

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1548764798

  O20171116002743

  Same enrollment
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1154660603

  O20171116002743

  Same enrollment
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1255842936

  O20171116002743

  Same enrollment
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1851858666

  O20171116002743

  Same enrollment

Locations

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1891206579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TREMONT ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021085004",
            "telephone_number": "617-804-5981",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 RIVER ST STE 201",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363715",
            "telephone_number": "617-452-2303",
            "fax_number": "617-329-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IORA HEALTH MASSACHUSETTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDOPULLE",
        "authorized_official_first_name": "RUSHIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-454-4672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyde Park Pain Management, LLC
• Hyde Park Pediatrics, P.C.
• Hyltons Healthcare Solutions LLC
• Inteclinco Home Health Services LLC
• Inview Diagnostic Imaging
• Iora Health, Inc
• Jamoptical LLC
• Louis Mouzin Jean-Michel
• Farrah Jean
• Janique Jean

• Internal Medicine Physician in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.