Individual provider Active NPI

Nils Becker

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, MA
National Provider Identifier
1003045063
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
254114 Issued in MA
Practice address
1 Cranberry Hill Ste 303
Lexington, MA 02421
Phone
(617) 401-4759
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 254114 MA Primary

Addresses

Primary practice location

1 Cranberry Hill Ste 303
Lexington, MA 02421

Mailing address

1 Cranberry Hill Ste 303
Lexington, MA 02421-7397
Phone (617) 401-4759

Other practice location 1

1 Cranberry Hl Ste 303
Lexington, MA 02421-7397
Phone (617) 401-4759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140804000704 MA Practitioner - Pathology 1658598354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strata Pathology Services, IncGroup PAC ID 3779503560, 14 clinicians

Practice addresses (Care Compare)

1 Cranberry HL
Suite 105
Lexington, MA 02421-7397
Phone (800) 325-7284

Merit-based Incentive Payment System (MIPS)

Final score
60.82 of 100Reported as group
Quality
21.63
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254114MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strata Pathology Services, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2014 Accepting new patients
Strata Pathology Services Inc CurrentSince Aug 1, 2014 Accepting new patients

Locations

1 Cranberry Hl
Ste 303
Lexington, MA 02421
Phone (678) 679-9059

1 Cranberry Hl
Ste 105
Lexington, MA 02421
Phone (800) 325-7284

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1003045063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HILL STE 303",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "617-401-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HILL STE 303",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02421",
            "telephone_number": "617-401-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cranberry Hl Ste 303",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024217397",
            "country_code": "US",
            "telephone_number": "617-401-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "NILS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "254114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.