Individual provider Active NPI

Maria Estrela Chaves, NP

  • Nurse Practitioner
  • Marlborough, MA
National Provider Identifier
1992000442
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
165098 Issued in MA
Practice address
65 Fremont St
Suite #4
Marlborough, MA 01752-1271
Phone
(508) 303-8553
NPI assigned
Jan 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 165098 MA Primary

Addresses

Primary practice location

65 Fremont St
Suite #4
Marlborough, MA 01752-1271

Mailing address

65 Fremont St
Suite #4
Marlborough, MA 01752-1271
Phone (508) 303-8553

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000002 MA Practitioner - Nurse Practitioner 2860657095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
165098MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marlboro Internal Medicine P.C CurrentSince May 27, 2017 Accepting new patients

Locations

65 Fremont St
Ofc 4
Marlborough, MA 01752
Phone (508) 303-8553

65 Fremont St
Marlborough, MA 01752
Phone (508) 485-3665

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHCCAA

Organizations & group practices 1

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1992000442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "address_2": "SUITE #4",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-303-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "address_2": "SUITE #4",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-303-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVES",
        "first_name": "MARIA",
        "middle_name": "ESTRELA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "165098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.