Back Bay MD LLC
Back Bay MD LLC is a healthcare organization registered as Clinic/Center in Malden, MA, holding Type 2 (organization) NPI 1972460244 since 2026. The authorized official on file is Luis Henkel, Owner and Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972460244 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Back Bay MD LLC |
| Practice address | 578 MAIN ST UNIT B5, Malden, MA, 02148 |
| Phone | 8572008997 |
| Enumeration date | 2026-01-07 |
| Last updated in NPPES | 2026-01-07 |
Authorized official
| Name | Luis Henkel |
|---|---|
| Title | Owner and Medical Director |
| Phone | 8572008997 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Back Bay MD LLC NPI: 1972460244 Taxonomy: 261Q00000X (Clinic/Center) Address: 578 MAIN ST UNIT B5, Malden, MA, 02148
Verify this record
Cross-check NPI 1972460244 against the authoritative CMS record: view Back Bay MD LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Back Bay MD LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-07.