Active NPI
Andy H Poritz, MD
- Anesthesiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 58158
- Practice address
- 300 Grove St
Worcester, MA 01605-3908 - Phone
- (508) 754-0700
- Fax
- (508) 831-9989
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 58158 | MA | Primary |
Addresses
Primary practice location
300 Grove St
Worcester, MA 01605-3908
Mailing address
205 Gardner Road
Brookline, MA 02445
Phone (617) 739-3647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3024181 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Boston University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
349 N Main St
Andover, MA 01810-2687
Phone (978) 475-0959
50 Staniford St
Lbby Level
Boston, MA 02114-2544
Phone (617) 723-2015
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.85 of 100
- Quality
- 77.71
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58158 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Massachusetts LLC | Current | Accepting new patients | |
| Ivs Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Professionals, Inc. | Current | Accepting new patients |
Locations
349 N Main St
Andover, MA 01810
Phone (978) 475-0959
50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015
145 West St
Milford, MA 01757
Phone (508) 381-5600
146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000
52 Second Ave
Ste 2500
Waltham, MA 02451
Phone (781) 487-2200
400 10th St E
Waconia, MN 55387
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Boston, MA
- NPI 1881306496
-
- Anesthesiology Physician
- Andover, MA
- NPI 1740440163
-
- Certified Registered Nurse Anesthetist
- Dartmouth, MA
- NPI 1659346443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073673711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 GARDNER ROAD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-739-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GROVE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053908",
"telephone_number": "508-754-0700",
"fax_number": "508-831-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORITZ",
"first_name": "ANDY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "58158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3024181",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.