Individual provider Active NPI

Henry John Merola, M.D.

  • Internal Medicine Physician
  • Waltham, MA
National Provider Identifier
1902963986
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59659 Issued in MA
Practice address
32 South St
Suite 205
Waltham, MA 02453-3594
Phone
(781) 894-8200
Fax
(781) 894-8202
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 59659 MA Primary

Addresses

Primary practice location

32 South St
Suite 205
Waltham, MA 02453-3594

Mailing address

32 South St
Suite 205
Waltham, MA 02453-3594
Phone (781) 894-8200

Other identifiers 3

IdentifierTypeStateIssuer
1902963986OtherMAMEDICARE NPI
3145221MedicaidMA
J07727OtherMAMEDICARE ID

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
I20050602000645 MA Practitioner - Internal Medicine 9234172016 Reassigns benefits to 3 organizations
Practice locations: Waltham, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

6 Lexington St
FL 2
Waltham, MA 02452-4401
Phone (617) 789-2545

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59659MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Dec 17, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Vicki Heller, MD/Gentle Gynecology Past Accepting new patients
Henry John Merola, M.D., PC Internal Medicine Past Accepting new patients

Locations

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

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

6 Lexington St
Fl 2
Waltham, MA 02452
Phone (617) 789-2545

Interoperability endpoints

  • Direct secure messaging: hjmerola@direct.meditouchehr.com
  • Direct secure messaging: henry.merola.1@32866.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902963986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE 205",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533594",
            "telephone_number": "781-894-8200",
            "fax_number": "781-894-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE 205",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533594",
            "telephone_number": "781-894-8200",
            "fax_number": "781-894-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEROLA",
        "first_name": "HENRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1902963986",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145221",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "J07727",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.