Individual provider Active NPI

Claes M Nilsson, MD

  • Internal Medicine Physician
  • Dedham, MA
National Provider Identifier
1912006065
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53091 Issued in MA
Practice address
990 Washington St
Suite 203
Dedham, MA 02026-6714
Phone
(413) 543-6820
Fax
(781) 326-1384
NPI assigned
Sep 22, 2006
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 53091 MA Primary

Addresses

Primary practice location

990 Washington St
Suite 203
Dedham, MA 02026-6714

Mailing address

819 Worcester St
Ste 3
Springfield, MA 01151-1045
Phone (413) 543-6820

Other identifiers 1

IdentifierTypeStateIssuer
110045324/AMedicaidMA

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
I20040406000501 MA Practitioner - Internal MedicinePractitioner - Hematology/OncologyPractitioner - Radiation Oncology 2365435351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Yale University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

45 Dan Rd
Canton, MA 02021-2852
Phone (781) 867-2050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53091MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Acute Care Specialists PC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Vantage Healthcare LLC Internal Medicine CurrentSince Apr 4, 2022 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine Current Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
NSPG Billing LLC Past Accepting new patients
Ayer Valley Rehab and Nursing LLC Past Accepting new patients
Sherrill House, Inc Past Accepting new patients
Bernard a Westerling III, MD, LLC Past Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
Coordinated Primary Care, Inc. Past Accepting new patients

Locations

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

400 Groton Rd
Ayer, MA 01432
Phone (508) 772-1704

265 Essex St
Beverly, MA 01915
Phone (978) 927-3260

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596

227 Babcock St
Brookline, MA 02446
Phone (617) 731-3200

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

20 N Maple St
Hadley, MA 01035
Phone (413) 584-5057

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

10 Veterans Memorial Dr
Milford, MA 01757
Phone (508) 473-6414

67 Union St
Natick, MA 01760
Phone (508) 383-1104

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ayer Valley PropcoAyer, MA, CCN 225421 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Oct 16, 2023
Oct 16, 2023
Oct 16, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1912006065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST",
            "address_2": "STE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511045",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WASHINGTON ST",
            "address_2": "SUITE 203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266714",
            "telephone_number": "413-543-6820",
            "fax_number": "781-326-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "CLAES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "53091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110045324/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.