Mystic Medical Group, Inc.
NPI 1245218676 · Pulmonary Disease Physician · Medford, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mystic Medical Group, Inc. is a Pulmonary Disease Physician organization in Medford, MA (NPI 1245218676).
Provider details
- NPI number
- 1245218676
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Weinstein, President(781) 391-0801
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-05
- Last updated
- 2010-10-21
Frequently asked questions
- What is Mystic Medical Group, Inc.'s NPI number?
- Mystic Medical Group, Inc.'s National Provider Identifier (NPI) is 1245218676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mystic Medical Group, Inc.?
- Mystic Medical Group, Inc. is classified in the NPPES registry as Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mystic Medical Group, Inc. located?
- Mystic Medical Group, Inc.'s practice location on file with NPPES is 170 Governors Ave, Medford, MA 02155-1643.
- What is Mystic Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mystic Medical Group, Inc. is (781) 391-4106.
- Does Mystic Medical Group, Inc. accept Medicare?
- Mystic Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mystic Medical Group, Inc.?
- The authorized official listed on Mystic Medical Group, Inc.'s NPPES record is Robert Weinstein, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mystic Medical Group, Inc.'s NPI active?
- Yes — Mystic Medical Group, Inc.'s NPI (1245218676) is active in the NPPES registry as of the last update on 2010-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.