Organization Active NPI

Centered Primary Care, PLLC

  • Family Medicine Physician
  • Stoughton, MA
National Provider Identifier
1912775446
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTERED PRIMARY CARE, PLLC
Practice address
966 Park St Ste B6
Stoughton, MA 02072-3650
Phone
(508) 365-2041
Fax
(508) 365-2042
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Roberto Amado, MD, MHANPI 1518498484
Title
Owner/Ceo
Phone
(508) 944-7881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

966 Park St Ste B6
Stoughton, MA 02072-3650

Mailing address

52 Cabral Cir
Stoughton, MA 02072-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219001868 MA Part B Supplier - Clinic/Group Practice 6305280249 Receives reassigned benefits from 3 practitioners
Practice locations: Stoughton, MA

National Provider Directory

National Provider Directory

Locations

966 Park St
Ste B6
Stoughton, MA 02072
Phone (508) 356-7011

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1912775446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CABRAL CIR",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST STE B6",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "508-365-2041",
            "fax_number": "508-365-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "508-944-7881",
        "authorized_official_credential": "MD, MHA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.