Giovanni Agostino Ferrante, MD
Individual provider Active NPI Vascular Surgery Physician · Brockton, MA
NPI 1104818103 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1104818103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 58121 (MA)
- Practice address
- 680 Centre St
Brockton, MA 02302-3308 - Phone
- (150) 894-1700
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Stanford University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
Practice addresses (Care Compare)
199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 313-1615
Hospital & facility affiliations
- Primary Homecare Specialties
- Beth Israel Deaconess Hospital - Milton
- South Shore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050331000273 | MA | Practitioner - Vascular Surgery |
2466409693 | Reassigns benefits to 7 organizations |
| I20151123001176 | TN | Practitioner - Vascular Surgery |
2466409693 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48573 | TN | MD | Vascular Surgery Physician |
| 0101254593 | VA | MD | Vascular Surgery Physician |
Practice roles
Locations
330 Brookline Ave
#2
Boston, MA 02215
Phone (617) 632-8383
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
110 Francis St
Boston, MA 02215
Phone (617) 632-7246
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
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
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
Interoperability endpoints
- gferrante255120@direct.bilh.masshiway.net
- gferrantemd269306@direct.atrius.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 58121 | MA | |
| Surgery Physician | 208600000X | 0101254593 | VA | |
| Surgery Physician | 208600000X | 48573 | TN | |
| Vascular Surgery Physician | 2086S0129X | 48573 | TN | |
| Vascular Surgery Physician | 2086S0129X | 0101254593 | VA | |
| Vascular Surgery Physician | 2086S0129X | 58121 | MA | Yes |
Addresses
Primary practice location
680 Centre St
Brockton, MA 02302-3308
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other practice location 1
16000 Johnston Memorial Dr
Suite 212C
Abingdon, VA 24211-7664
Phone (276) 258-2014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VVB935A | Other | VA | MEDICARE |
| 34698 | Other | FALLON | |
| J06780 | Other | BC/BS | |
| 3024393 | Medicaid | MA | |
| 1104818103 | Medicaid | VA | |
| Q008560 | Medicaid | TN |
Other providers in Brockton, MA
- Annjalica Fernandes
- Daniela Daveiga Fernandes
- Karleen Fernandes
- Michelle Fernando
- Clarissa Ferolito
- Carlene Ferreira
- Fe Erlita D Festin
- Jamayah Few
- Michael George Fields
- Consuelo Maria Fierros
All providers in Brockton, MA · Vascular Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.