Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Luis Ticona, MD

Individual provider Internal Medicine Physician · NPI 1255693305

Dr. Luis Ticona, MD is an Internal Medicine in Boston, Massachusetts. Graduated from Harvard Medical School in 2012, 14 years ago. Practices with Reliant Medical Group Inc, a 638-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Trained at
Harvard Medical School
Licensed in
MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 Massachusetts Ave Crosstown 6B
Boston, MA 02118-2605
Phone: (617) 414-5951
Fax: (617) 414-9201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 262882 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 251665 (MA)

Record details

NPI number1255693305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESNovember 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Reliant Medical Group Inc — 638 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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