Active NPI
David August MD, LLC
- Internal Medicine Physician
- Chestnut Hill, MA
National Provider Identifier
1972935534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DAVID AUGUST MD, LLC
- Practice address
- 25 Boylston St
Suite 315
Chestnut Hill, MA 02467-1715 - Phone
- (617) 916-0895
- Fax
- (617) 916-0937
- NPI assigned
- Aug 6, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Amy Wilson
- Title
- Manager
- Phone
- (617) 916-0895
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chestnut Hill, MA
- NPI 1760420079
-
- Nurse Practitioner
- Chestnut Hill, MA
- NPI 1952064073
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2094792 | David August MD, LLC | Certificate of waiver | Apr 22, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130919000346 | MA | Part B Supplier - Clinic/Group Practice | 4688818388 |
Receives reassigned benefits from 2 practitioners Practice locations: Chestnut Hill, MA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
25 Boylston St
Suite 315
Chestnut Hill, MA 02467-1715
Mailing address
5 Alveston St
Boston, MA 02130-2804
Phone (617) 797-1967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2024.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1972935534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ALVESTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021302804",
"telephone_number": "617-797-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BOYLSTON ST",
"address_2": "SUITE 315",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024671715",
"telephone_number": "617-916-0895",
"fax_number": "617-916-0937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID AUGUST MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "617-916-0895"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
- Katie C Daley, M.D.
- Dana-Farber Cancer Institute, Inc.
- Dana-Farber Cancer Institute, Inc.
- Dana-Farber Cancer Institute, Inc.
- Andrew Victor Danberg-Ficarelli, D.M.D.
- Alexandra Quigley Dawson, PHARMD
- Jillian De Almeida
- Leigh Elizabeth De Chaves, PT,OCS
- Curt James Degenhart, PSY.D.
- Anna Derrane, STUDENT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.