NPIMap

Individual provider Active NPI

Christopher Ma, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Boston, MA
National Provider Identifier
1962814921
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
281532 Issued in MA
Practice address
915 Commonwealth Ave Rear
Boston, MA 02215-1394
Phone
(617) 638-5633
NPI assigned
May 27, 2014
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 281532 MA
Sports Medicine (Family Medicine) Physician 207QS0010X 281532 MA Primary

Addresses

Primary practice location

915 Commonwealth Ave Rear
Boston, MA 02215-1394

Mailing address

801 Albany St FL Ground
Boston, MA 02119-2560
Phone (617) 414-5405

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
I20191202001354 MA Practitioner - Sports MedicinePractitioner - Family Practice 6204138159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medical Associates-EbnhcGroup PAC ID 6103814371, 239 clinicians
Boston University Family Medicine IncGroup PAC ID 0446154074, 67 clinicians

Practice addresses (Care Compare)

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800

915 Commonwealth Ave
Rear
Boston, MA 02215-1394
Phone (617) 358-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281532MAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Family Medicine, Inc. Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Medical Associates of Ebnhc Current Accepting new patients
Neighborhealth Corporation CurrentSince Jan 1, 2020 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Jan 1, 2020 Accepting new patients
Neighborhealth Corporation Past Accepting new patients

Locations

915 Commonwealth Ave
Rear
Boston, MA 02215
Phone (617) 358-3400

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

Interoperability endpoints

  • Direct secure messaging: cma108948@direct.bmc.masshiway.net
  • Direct secure messaging: cma27858@direct.neighborhealth.masshiway.net

Organizations & group practices 6

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 8

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1962814921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ALBANY ST FL GROUND",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192560",
            "telephone_number": "617-414-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 COMMONWEALTH AVE REAR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151394",
            "telephone_number": "617-638-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "281532",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MA",
            "license": "281532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.