Individual provider Active NPI

Julianne Stoughton, MD

  • Surgery Physician
  • Stoneham, MA
National Provider Identifier
1033191671
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
79594 Issued in MA
Practice address
92 Montvale Ave
Suite 3200
Stoneham, MA 02180-3660
Phone
(781) 438-8117
Fax
(781) 438-8116
NPI assigned
Nov 18, 2005
Last updated
Jun 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 79594 MA Primary
Vascular Surgery Physician 2086S0129X 79594 MA

Addresses

Primary practice location

92 Montvale Ave
Suite 3200
Stoneham, MA 02180-3660

Mailing address

92 Montvale Ave
Suite 3200
Stoneham, MA 02180-3660
Phone (781) 438-8117

Other identifiers 3

IdentifierTypeStateIssuer
079594OtherMATUFTS HEALTH PLAN
J30769OtherMABCBS OF MA
3127745MedicaidMA

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
I20050426000808 MA Practitioner - Vascular SurgeryPractitioner - General Surgery 2062471089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Warren Alpert Medical School of Brown University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21 Montvale Ave
Stoneham, MA 02180-3542
Phone (781) 438-8117

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal95
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
The General Hospital Corporation CurrentSince Sep 9, 2009 Accepting new patients
Massachusetts General Physicians Organization Inc Surgery CurrentSince Jul 1, 1994 Accepting new patients
Julianne Stoughton MD PC Surgery Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

101 Main St
Ste 211
Medford, MA 02155
Phone (781) 395-7304

Interoperability endpoints

  • Direct secure messaging: stoughton.julianne.mgh@direct.partners.masshiway.net

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1033191671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "SUITE 3200",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803660",
            "telephone_number": "781-438-8117",
            "fax_number": "781-438-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "SUITE 3200",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803660",
            "telephone_number": "781-438-8117",
            "fax_number": "781-438-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUGHTON",
        "first_name": "JULIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "79594",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "79594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "079594",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "J30769",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127745",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.