Individual provider Active NPI

Ryan G Seibert, M.D.

  • Internal Medicine Physician
  • Burlington, MA
National Provider Identifier
1912263864
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
270134 Issued in MA
Practice address
67 S Bedford St Ste 202E
Burlington, MA 01803-5141
Phone
(781) 744-7000
NPI assigned
Apr 4, 2012
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 270134 MA Primary

Addresses

Primary practice location

67 S Bedford St Ste 202E
Burlington, MA 01803-5141

Mailing address

41 Mall Road
Burlington, MA 01805
Phone (781) 744-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170726002686 MA Practitioner - Internal Medicine 3173838216 Reassigns benefits to 1 organization
I20230109001566 NH Practitioner - Internal Medicine 3173838216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270134MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Mass General Brigham Amsurg Inc Past Accepting new patients

Locations

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

Organizations & group practices 3

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1912263864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S BEDFORD ST STE 202E",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035141",
            "telephone_number": "781-744-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "RYAN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "270134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.