NPIMap

Individual provider Active NPI

Paula Jo Carbone, M.D.,M.B.A.

  • Internal Medicine Physician
  • Sudbury, MA
National Provider Identifier
1942318449
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74790 Issued in MA
Practice address
29 Hudson Rd Ste 3310
Sudbury, MA 01776-1753
Phone
(978) 443-8810
Fax
(978) 443-8839
NPI assigned
Aug 26, 2006
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 74790 MA Primary

Addresses

Primary practice location

29 Hudson Rd Ste 3310
Sudbury, MA 01776-1753

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Other identifiers 2

IdentifierTypeStateIssuer
3118592MedicaidMA
74790OtherMASTATE LICENSE #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Carbone.PaulaJo.CRM@direct.partners.masshiway.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001126 MA Practitioner - Internal Medicine 2062456627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Vermont College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

600 Worcester Rd
Framingham, MA 01702-5316

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Oct 1, 2016 Accepting new patients
Charles River Medical Associates PC Internal Medicine CurrentSince Nov 23, 2020 Accepting new patients
Charles River Medical Associates PC CurrentSince Nov 23, 2020 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Charles River Medical Associates, PC Past Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine PastSince Dec 28, 2017 Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

29 Hudson Rd
Ste 3310
Sudbury, MA 01776
Phone (978) 443-8810

Interoperability endpoints

  • Direct secure messaging: carbone.paulajo.crm@direct.partners.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1942318449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HUDSON RD STE 3310",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761753",
            "telephone_number": "978-443-8810",
            "fax_number": "978-443-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "PAULA JO",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3118592",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "74790",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carbone.PaulaJo.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "29 Hudson Rd Ste 3310",
            "city": "Sudbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017761753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.