OrganizationActive
Commonwealth Care Alliance
NPI 1669924783 · Exclusive Provider Organization · Charlestown, MA
Provider details
- NPI number
- 1669924783
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Laura Black, Regional Clinical Director(617) 600-3195
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
529 Main St
Charlestown, MA 02129-1125
Phone: (617) 600-3195
Street-level locationGet directions
Mailing address
529 Main St
Charlestown, MA 02129-1125
Registry dates
- Enumerated
- 2016-10-25
- Last updated
- 2016-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.