MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC – Cardiovascular Disease Physician, NPI 1548638265
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC
170 Governors Ave
Medford, MA 021551643
Phone: (781) 395-4909
Fax: (781) 395-5081
Type: Location
800 BOYLSTON ST
BOSTON, MA 021991900
Phone: (781) 433-3600
Fax: (781) 433-3767
Type: Mailing
137 MAIN ST
MEDFORD, MA 021554522
Phone: (781) 395-4909
Fax: (781) 395-5081
Type: Location
399 REVOLUTION DR STE 1010
SOMERVILLE, MA 021451444
Phone:
Type: Mailing
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: 2026-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 18 Medicare enrollment records; no due dates published yet.
Enrollment records
18
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20151215000536 | O | Clinic/Group Practice | MA | TBD |
| O20220902000600 | O | Clinic/Group Practice | DC | TBD |
| O20221107002262 | O | Clinic/Group Practice | NH | TBD |
| O20230414000161 | O | Clinic/Group Practice | RI | TBD |
| O20230425000448 | O | Clinic/Group Practice | FL | TBD |
| O20231002002375 | O | Clinic/Group Practice | VT | TBD |
| O20231025001718 | O | Clinic/Group Practice | OH | TBD |
| O20231025002409 | O | Clinic/Group Practice | TX | TBD |
| O20240228001655 | O | Clinic/Group Practice | CT | TBD |
| O20240302000076 | O | Clinic/Group Practice | NJ | TBD |
| O20240403001240 | O | Clinic/Group Practice | CA | TBD |
| O20240614002271 | O | Clinic/Group Practice | NY | TBD |
| O20241007001041 | O | Clinic/Group Practice | MI | TBD |
| O20241023001770 | O | Clinic/Group Practice | ME | TBD |
| O20250606000805 | O | Clinic/Group Practice | AZ | TBD |
| O20250805000469 | O | Clinic/Group Practice | HI | TBD |
| O20251204001728 | O | Clinic/Group Practice | NM | TBD |
| O20260109001277 | O | Clinic/Group Practice | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 02155)
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