Individual provider Active NPI

Andy H Poritz, MD

  • Anesthesiology Physician
  • Worcester, MA
National Provider Identifier
1073673711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
58158 Issued in MA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3024181MedicaidMA

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
I20050404000060 MA Practitioner - Anesthesiology 5092762989 Reassigns benefits to 3 organizations

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
Ivs Anesthesia LLCGroup PAC ID 9537233010, 9 clinicians
Anesthesia Consultants of Massachusetts LLCGroup PAC ID 3274905906, 9 clinicians

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 100Reported as group
Quality
77.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58158MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Massachusetts LLC CurrentSince Feb 1, 2023 Accepting new patients
Ivs Anesthesia, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Anesthesia Professionals, Inc. CurrentSince Jun 1, 2020 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.

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

Verify at the official NPI Registry.