Individual provider Active NPI

Erwin Ilano, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1972674364
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
80451 Issued in MA
Practice address
7 Haviland St
Boston, MA 02115-2683
Phone
(617) 267-0900
Fax
(617) 267-3667
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 80451 MA Primary

Addresses

Primary practice location

7 Haviland St
Boston, MA 02115-2683

Mailing address

7 Haviland St
Boston, MA 02115-2683
Phone (617) 267-0900

Other identifiers 1

IdentifierTypeStateIssuer
1303546MedicaidMA

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
I20050119000610 MA Practitioner - Psychiatry 0345299137 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Westwood Pembroke Inc CurrentSince Apr 20, 2016 Accepting new patients
Child and Family Psychological Services, PLLC Psychiatry CurrentSince Oct 11, 2021 Accepting new patients

Locations

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

199 Oak St
Pembroke, MA 02359
Phone (781) 829-7000

2300 Crown Colony Dr
Ste 202
Quincy, MA 02169
Phone (617) 405-5735

45 Clapboardtree St
Westwood, MA 02090
Phone (781) 762-7764

Organizations & group practices 2

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972674364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HAVILAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152683",
            "telephone_number": "617-267-0900",
            "fax_number": "617-267-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HAVILAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152683",
            "telephone_number": "617-267-0900",
            "fax_number": "617-267-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILANO",
        "first_name": "ERWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "80451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.