INTERNAL MEDICAL ASSOCIATES-EBNHC
NPI 1558481879
Clinic/Center - Community Health in East Boston, MA

Active since March 30, 2007
10 GOVE ST, EAST BOSTON, MA 02128(617) 569-5800(617) 568-4756 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2020, Mar 4, 2020 (2 updates tracked since 2020).

About Internal Medical Associates-ebnhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNAL MEDICAL ASSOCIATES-EBNHC (NPI 1558481879) is a healthcare organization registered as a community health in East Boston, Massachusetts and active in the NPI registry since March 2007. The organization lists Jackie S. Fantes, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1558481879
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameINTERNAL MEDICAL ASSOCIATES-EBNHC
Location Address10 GOVE STEast Boston, MA 02128-1920
Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4780
Fax(617) 568-4756
Organization SubpartNo
Authorized OfficialJackie S. FantesChief Medical Officer · (617) 569-5800
Enumeration DateMarch 30, 2007
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1558481879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
10 GOVE ST, East Boston, MA 02128

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medical Associates-ebnhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20040505000853Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

574

Medicare enrollment records show 574 clinicians reassign Medicare billing to Internal Medical Associates-Ebnhc, which bills Medicare for the services they deliver. Of these, 201 practice at this address and 468 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Nurse Practitioner185
Diagnostic Radiology82
Emergency Medicine54
Family Practice45
Internal Medicine43
Pediatric Medicine38
Clinical Social Worker22
Certified Nurse Midwife (CNM)16
23 other specialties89

Nearest to this location (20)

See all 574
Pediatric Medicine
NPI 1225057524
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
Nurse Practitioner
NPI 1114632445
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1770003477
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1578619086
10 GOVE ST
Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
Nurse Practitioner
NPI 1134781644
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1033775085
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
Family Practice
NPI 1134263502
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1457339731
10 GOVE ST
East Boston, MA 02128
(647) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1184076515
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1710855697
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
Optometry
NPI 1093777468
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1164096327
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1285945881
10 GOVE ST
East Boston, MA 02128
(401) 271-1100
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1730642695
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1730660630
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
Marriage and Family Therapist
NPI 1801973987
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1952689093
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1366467201
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
General Practice
NPI 1447238720
10 GOVE ST
East Boston, MA 02128
(647) 569-5800
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1942225891
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOSSame address
See all 574 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Internal Medical Associates-Ebnhc's NPI number?

The NPI number for Internal Medical Associates-Ebnhc is 1558481879. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Internal Medical Associates-Ebnhc located?

Internal Medical Associates-Ebnhc is located at 10 Gove St, East Boston, MA 02128. The listed phone number is (617) 569-5800.

What is Internal Medical Associates-Ebnhc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Internal Medical Associates-Ebnhc enrolled in Medicare?

Yes. Internal Medical Associates-Ebnhc is registered in the Medicare PECOS enrollment system.

When is Internal Medical Associates-Ebnhc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Internal Medical Associates-Ebnhc?

According to the CMS Revalidation Reassignment List (October 2026 release), 574 clinicians in 31 Medicare specialties reassign their Medicare billing to Internal Medical Associates-Ebnhc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (185), Diagnostic Radiology (82) and Emergency Medicine (54). Of these, 201 practice at this address and 468 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Internal Medical Associates-Ebnhc was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.