Individual provider Active NPI

David J Cancian, MD

  • Internal Medicine Physician
  • Watertown, MA
National Provider Identifier
1962496539
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78517 Issued in MA
Practice address
480 Pleasant St # A300
Watertown, MA 02472-2463
Phone
(617) 926-9000
Fax
(617) 926-7053
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 78517 MA
Internal Medicine Physician 207R00000X 78517 MA Primary

Addresses

Primary practice location

480 Pleasant St # A300
Watertown, MA 02472-2463

Mailing address

330 Mount Auburn St
Parsons 2
Cambridge, MA 02138-5597
Phone (617) 926-9000

Other identifiers 1

IdentifierTypeStateIssuer
2078821MedicaidMA

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
I20050323000754 MA Practitioner - Internal Medicine 2961458914 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78517MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc Internal Medicine CurrentSince Nov 1, 2009 Accepting new patients
Mt Auburn Professional Services Internal Medicine CurrentSince Nov 1, 2009 Accepting new patients
Mt Auburn Professional Services PastSince Mar 24, 2025 Accepting new patients
The Commonwealth of Massachusetts Past Accepting new patients
Mount Auburn Professional Services Inc Internal Medicine PastSince Mar 24, 2025 Accepting new patients

Locations

330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

521 Mount Auburn St
Ste 101
Watertown, MA 02472
Phone (617) 657-1853

480 Pleasant St
#A300
Watertown, MA 02472
Phone (617) 926-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dcancian254142@direct.bilh.masshiway.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1962496539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "address_2": "PARSONS 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385597",
            "telephone_number": "617-926-9000",
            "fax_number": "617-926-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PLEASANT ST # A300",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722463",
            "telephone_number": "617-926-9000",
            "fax_number": "617-926-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "78517",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "78517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078821",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.