MIT MEDICAL – NPI #1457607756
Clinic/Center

MIT MEDICAL is an AHC clinic located in CAMBRIDGE, MA. NPPES has assigned the NPI number 1457607756 to MIT MEDICAL on July 24, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MIT MEDICAL” is a dba name, the actual legal business name for this organization is MASSACHUSETTS INSTITUTE OF TECHNOLOGY. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 3 years ago on Nov 17, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIT MEDICAL below.

NPI Profile for
MASSACHUSETTS INSTITUTE OF TECHNOLOGY

NPI Number
1457607756
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
Doing Business As (dba): MIT MEDICAL
Other name(s)
All associated names:
Doing Business As (dba)
MIT Health
Doing Business As (dba)
MIT Medical
Primary location
25 CARLETON ST
CAMBRIDGE, MA 02142-1323
Phone: (617) 253-4481 Fax:
Mailing address
77 MASSACHUSETTS AVE # E23-431
CAMBRIDGE, MA 02139-4301
Phone: (617) 258-6609 Fax:
Organization Subpart
No
Authorized Official
BRIAN SCHUETZ
EXECUTIVE DIRECTOR
Phone: (617) 258-6609
Updated
Certification Date
Nov 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MIT MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS PHYSICAL THERAPYMAY61353
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
MA 2863

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.