Individual provider Active NPI

Trista N Repassy, M.D.

  • Internal Medicine Physician
  • Natick, MA
National Provider Identifier
1073560769
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216066 Issued in MA
Practice address
190 N Main St
First Floor
Natick, MA 01760-2057
Phone
(508) 655-2555
Fax
(508) 655-2596
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216066 MA Primary

Addresses

Primary practice location

190 N Main St
First Floor
Natick, MA 01760-2057

Mailing address

190 N Main St
First Floor
Natick, MA 01760-2057
Phone (508) 655-2555

Other identifiers 1

IdentifierTypeStateIssuer
9773894MedicaidMA

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
I20110107000436 MA Practitioner - Internal Medicine 4688863582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

190 N Main St
FL 1
Natick, MA 01760-2054
Phone (508) 655-2555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Repassy Medical, LLC CurrentSince Dec 19, 2011 Accepting new patients

Locations

190 N Main St
Ste 1
Natick, MA 01760

190 N Main St
#1
Natick, MA 01760

190 N Main St
Natick, MA 01760
Phone (508) 647-1600

190 N Main St
Fl 1
Natick, MA 01760
Phone (508) 655-2555

190 N Main St
Fl First
Natick, MA 01760
Phone (508) 655-2555

Interoperability endpoints

  • Direct secure messaging: trista.repassy.1@3762.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3762/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1073560769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "address_2": "FIRST FLOOR",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602057",
            "telephone_number": "508-655-2555",
            "fax_number": "508-655-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "address_2": "FIRST FLOOR",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602057",
            "telephone_number": "508-655-2555",
            "fax_number": "508-655-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASSY",
        "first_name": "TRISTA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9773894",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.