Provider Demographics
NPI:1538154869
Name:COMMUNITY PHYSICIANS ASSOCIATES, INC.
Entity type:Organization
Organization Name:COMMUNITY PHYSICIANS ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHEILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGAVIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-313-1350
Mailing Address - Street 1:32 S MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4835
Mailing Address - Country:US
Mailing Address - Phone:781-986-6078
Mailing Address - Fax:781-986-0058
Practice Address - Street 1:92 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-3800
Practice Address - Country:US
Practice Address - Phone:617-696-4600
Practice Address - Fax:781-986-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M15986OtherBLUE CROSS INDEMNITY
MA9777199Medicaid
MA9777199Medicaid
=========OtherHARVARD PILGRIM
=========OtherUNICARE
=========OtherHCVM
=========Medicare ID - Type UnspecifiedPREFERRED TUFTS
MA9777199Medicaid