Mystic Cardiology Associates Inc — NPI 1124093224

Mystic Cardiology Associates Inc’s National Provider Identifier is 1124093224. NPPES classifies this as a Type 2 organization record and reports a practice location in Medford, Massachusetts. The primary taxonomy is Cardiovascular Disease Physician.

Key facts

NPI
1124093224
Entity type
Type 2 organization
NPPES status
Active in the August 10, 2026 snapshot
Practice location
137 MAIN ST
Medford, Massachusetts 02155
Practice telephone
(781) 395-4909
Primary taxonomy
Cardiovascular Disease Physician (207RC0000X)
Allopathic & Osteopathic Physicians › Internal Medicine › Cardiovascular Disease
Enumeration date
February 22, 2006
NPPES last update
May 22, 2019
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Mystic Cardiology Associates Inc?

The NPI listed for Mystic Cardiology Associates Inc in the NPPES snapshot is 1124093224. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1124093224 an individual or organization record?

NPPES records NPI 1124093224 as an Entity Type 2 record, which CMS assigns to an organization health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 137 MAIN ST, Medford, Massachusetts 02155.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Cardiovascular Disease Physician (207RC0000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of May 22, 2019 and an enumeration date of February 22, 2006, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Medford, Massachusetts NPI directory and the Massachusetts NPI directory.

Other published profiles in Medford, MA

Up to ten other profiles this site publishes for Medford, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 10 published profiles.

Corrections and removal requests

To change the underlying record, the provider or an authorized representative must update it with CMS through the NPPES provider portal; this site cannot edit NPPES data. Changes appear here only after a later monthly file is processed.

To report a presentation error on this site, or to ask that a practice address or telephone number be suppressed from this page, email contact@npireference.com with the NPI and the request. See the corrections page for the full process and timelines. Do not include patient or clinical information.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.