OrganizationActive
Back Bay MD LLC
NPI 1972460244 · Clinic/Center · Malden, MA
Back Bay MD LLC is a Clinic/Center organization in Malden, MA (NPI 1972460244).
Provider details
- NPI number
- 1972460244
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Luis Henkel, Owner and Medical Director(857) 200-8997
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
578 Main St Unit B5
Malden, MA 02148-4094
Phone: (857) 200-8997
Street-level locationGet directions
Mailing address
578 Main St Unit B5
Malden, MA 02148-4094
Registry dates
- Enumerated
- 2026-01-07
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Frequently asked questions
- What is Back Bay MD LLC's NPI number?
- Back Bay MD LLC's National Provider Identifier (NPI) is 1972460244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back Bay MD LLC?
- Back Bay MD LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Back Bay MD LLC located?
- Back Bay MD LLC's practice location on file with NPPES is 578 Main St Unit B5, Malden, MA 02148-4094.
- What is Back Bay MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Back Bay MD LLC is (857) 200-8997.
- Who is the authorized official for Back Bay MD LLC?
- The authorized official listed on Back Bay MD LLC's NPPES record is Luis Henkel, Owner and Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back Bay MD LLC's NPI active?
- Yes — Back Bay MD LLC's NPI (1972460244) is active in the NPPES registry as of the last update on 2026-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.