Individual provider Active NPI

Ayleen Gregorian, DPM FACPM LLC

  • Podiatrist
  • Bedford, MA
National Provider Identifier
1992768873
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2165 Issued in MA
Practice address
41 North Rd Ste 202
Bedford, MA 01730-1037
Phone
(978) 501-7176
Fax
(978) 456-7842
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2165 MA Primary

Addresses

Primary practice location

41 North Rd Ste 202
Bedford, MA 01730-1037

Mailing address

41 North Rd Ste 202
Bedford, MA 01730-1037
Phone (978) 501-7176

Other identifiers 9

IdentifierTypeStateIssuer
AA4026OtherMAHARVARD PILGRIM
33917OtherMAHEALTH NEW ENGLAND
5119441OtherMACIGNA
7673533OtherMAAETNA
0323420MedicaidMA
457517OtherMATUFTS
000000029923OtherMABMC
216500OtherMACONNECTICARE
Y71085OtherMABCBS MA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001419 MA Practitioner - Podiatry 6103897186 Practice locations: Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41 N Rd
Suite 202
Bedford, MA 01730-1037
Phone (978) 501-7176

Hospital & facility affiliations

  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue861
Removal or shaving of skin growth90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2165MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Hospital Current Accepting new patients
Ayleen Gregorian DPM PastSince Jul 21, 2020 Accepting new patients
Associated Foot Specialists,PC Podiatrist PastSince Dec 1, 2021 Accepting new patients
Affiliated Podiatrists PC Podiatrist Past Accepting new patients
Emerson Practice Associates, Inc. PastSince Feb 25, 2021 Accepting new patients
North Bridge Podiatry Group, P.C. PastSince Sep 20, 1991 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gregorian.ayleen.epho@direct.partners.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10393/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1992768873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NORTH RD STE 202",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301037",
            "telephone_number": "978-501-7176",
            "fax_number": "978-456-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NORTH RD STE 202",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301037",
            "telephone_number": "978-501-7176",
            "fax_number": "978-456-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORIAN",
        "first_name": "AYLEEN",
        "name_prefix": "Dr.",
        "credential": "DPM FACPM LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA4026",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "33917",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5119441",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7673533",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323420",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "457517",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000029923",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "216500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "Y71085",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.