Individual provider Active NPI

Leonid D Shturman, D.O.

  • Cardiovascular Disease Physician
  • Weymouth, MA
National Provider Identifier
1104851435
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
226454 Issued in MA
Practice address
90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129
Phone
(781) 682-0610
Fax
(781) 682-0611
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 226454 MA Primary
Internal Medicine Physician 207R00000X 226454 MA

Addresses

Primary practice location

90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129

Mailing address

90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129
Phone (781) 682-0610

Other identifiers 1

IdentifierTypeStateIssuer
2167719MedicaidMA

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
I20090212000121 MA Practitioner - Cardiovascular Disease (Cardiology) 3678638343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

90 Libbey Industrial Pkwy
Suite 201
Weymouth, MA 02189-3157
Phone (781) 682-0606

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226454MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Atrius Health, Inc. CurrentSince May 1, 2015 Accepting new patients
Atrius Health, Inc. Internal Medicine Current Accepting new patients
Atrius Health, Inc. Internal Medicine Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Boston, MA 02109
Phone (617) 421-2508

500 Congress St
Ste 3C
Quincy, MA 02169
Phone (617) 471-0033

90 Libbey Park
Ste 201
Weymouth, MA 02189
Phone (781) 331-1212

Interoperability endpoints

  • Direct secure messaging: lshturman22271@direct.atrius.masshiway.net

Organizations & group practices 4

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1104851435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-682-0610",
            "fax_number": "781-682-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-682-0610",
            "fax_number": "781-682-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTURMAN",
        "first_name": "LEONID",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "226454",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "226454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167719",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.