Individual provider Active NPI

Suzzanne L Merithew, P.A.

  • Surgical Physician Assistant
  • Milton, MA
National Provider Identifier
1043385487
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
100 Highland St Ste 123
Milton, MA 02186-3881
Phone
(617) 296-2222
Fax
(617) 296-3834
NPI assigned
Nov 21, 2006
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 590 MA
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

100 Highland St Ste 123
Milton, MA 02186-3881

Mailing address

100 Highland St Ste 123
Milton, MA 02186-3881
Phone (617) 696-3411

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ehr

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000536 MA Practitioner - Physician Assistant 2163617580 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Physicians of Harvard Medical Faculty Physicians at Beth IsGroup PAC ID 6305749987, shared by 7 NPIs, 566 clinicians

Practice addresses (Care Compare)

100 Highland St
Milton, MA 02186-3881
Phone (617) 313-1440

101 Page St
New Bedford, MA 02740-3464
Phone (781) 983-9088

145 Rosemary St
Needham, MA 02494-3259

199 Reedsdale Rd
Milton, MA 02186-3926

330 Brookline Ave
Boston, MA 02215-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
590MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Apr 9, 2016 Accepting new patients
Community Physicians Associates, Inc. CurrentSince Dec 14, 2022 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Apr 9, 2016 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Apr 9, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Apr 9, 2016 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Apr 9, 2016 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 7, 2025 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 7, 2025 Accepting new patients
Greater Boston Urology, LLC Past Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

100 Highland St
Ste 123
Milton, MA 02186
Phone (617) 696-3411

100 Highland St
Ste 126
Milton, MA 02186
Phone (617) 313-1440

100 Highland St
Ste 202
Milton, MA 02186
Phone (617) 898-0898

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

145 Rosemary St
Ste B
Needham Heights, MA 02494
Phone (781) 433-2110

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1043385487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 123",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-3411",
            "fax_number": "617-696-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 123",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-296-2222",
            "fax_number": "617-296-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERITHEW",
        "first_name": "SUZZANNE",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "590",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "address_1": "84 Walpole St Apt 6H",
            "city": "Canton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020211837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.