Individual provider Active NPI

Miguel Azevedo Peixoto, NP-C

  • Family Nurse Practitioner
  • Chelmsford, MA
National Provider Identifier
1083670764
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
259834 Issued in MA
Practice address
4 Courthouse LN
Suite 9
Chelmsford, MA 01824-1728
Phone
(978) 459-8400
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 259834 MA Primary

Addresses

Primary practice location

4 Courthouse LN
Suite 9
Chelmsford, MA 01824-1728

Mailing address

4 Courthouse LN
Suite 9
Chelmsford, MA 01824-1728
Phone (978) 459-8400

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
I20110802000384 MA Practitioner - Nurse Practitioner 9931378312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Healthcare Specialists,P.C.Group PAC ID 7315952850, 3 clinicians

Practice addresses (Care Compare)

4 Courthouse LN
Suite 9
Chelmsford, MA 01824-1731
Phone (978) 459-8400

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
259834MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Healthcare Specialists,P.C. CurrentSince Jun 1, 2011 Accepting new patients

Locations

4 Cthouse Ln
Ste 9
South Chelmsford, MA 01824
Phone (978) 459-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJAAA/Endpoint/JHJAAA
  • Direct secure messaging: miguel.peixoto@mhcs.eclinicaldirectplus.com

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 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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1083670764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COURTHOUSE LN",
            "address_2": "SUITE 9",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241728",
            "telephone_number": "978-459-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COURTHOUSE LN",
            "address_2": "SUITE 9",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241728",
            "telephone_number": "978-459-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIXOTO",
        "first_name": "MIGUEL",
        "middle_name": "AZEVEDO",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "259834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.