EMERSON PRACTICE ASSOCIATES, INC. – Internal Medicine Physician, NPI 1508020199
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMERSON PRACTICE ASSOCIATES, INC.
3 Digital Way
Maynard, MA 017542269
Phone: (978) 287-8990
Type: Location
100 Boston Rd Ste 4
Groton, MA 014501879
Phone: (978) 448-4300
Type: Location
PO BOX 9135
BROOKLINE, MA 024469135
Phone: (800) 927-0002
Fax: (603) 893-8886
Type: Mailing
38 Highland Commons Lane
Hudson, MA 01749
Phone: (978) 287-8990
Type: Location
411 Mass Ave Ste 205
Acton, MA 017203739
Phone: (978) 263-2898
Type: Location
200 Baker Ave Ste 217
Concord, MA 017422178
Phone: (978) 287-7495
Type: Location
55 North Rd Ste 120
Bedford, MA 017301078
Phone: (339) 215-5100
Type: Location
9 Mill and Main Pl Ste 101
Maynard, MA 017542651
Phone: (978) 371-5386
Type: Location
490 Boston Post Rd Ste 2001
Sudbury, MA 017763392
Phone: (978) 579-6018
Type: Location
54 Baker Avenue Ext Ste 203
Concord, MA 017422137
Phone: (978) 287-3194
Type: Location
21 Main St
Maynard, MA 017542505
Phone: (978) 287-8767
Type: Location
131 Old Road To 9 Acre Cor Ste 770490
Concord, MA 017424181
Phone: (978) 371-5386
Type: Location
830 Constitution Ave
Littleton, MA 014601137
Phone: (978) 287-8990
Type: Location
310 Baker Ave Ste 175
Concord, MA 017422140
Phone: (978) 287-3835
Type: Location
PO BOX 411581
BOSTON, MA 022412503
Phone: (978) 287-3000
Fax: (978) 287-3022
Type: Mailing
Emerson Hospital, 133, Old Road to Nine Acre Corner, Concord, Middlesex County, Massachusetts, 01742, United States
CONCORD, MA 017424159
Phone: (978) 287-3022
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20081120000518 | O | Clinic/Group Practice | MA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01754)
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