Individual provider Active NPI

John A Hamjian, M.D.

  • Neurology Physician
  • Hyannis, MA
National Provider Identifier
1124120613
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
80980 Issued in MA
Practice address
2 Lynxholm CT
Hyannis, MA 02601-3019
Phone
(508) 778-8585
Fax
(508) 775-2951
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 80980 MA Primary

Addresses

Primary practice location

2 Lynxholm CT
Hyannis, MA 02601-3019

Mailing address

2 Lynxholm CT
Hyannis, MA 02601-3019
Phone (508) 778-8585

Other identifiers 2

IdentifierTypeStateIssuer
3141993MedicaidMA
J16097OtherMABLUE SHIELD

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
I20050601000131 MA Practitioner - Neurology 2062454069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Saint Louis University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Lynxholm CT
Hyannis, MA 02601-3071
Phone (508) 778-8585

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Merit-based Incentive Payment System (MIPS)

Final score
24.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80980MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Cape Cod PC CurrentSince Jul 1, 2002 Accepting new patients

Locations

2 Lynxholm Ct
Hyannis, MA 02601
Phone (508) 778-8585

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 2

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1124120613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LYNXHOLM CT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013019",
            "telephone_number": "508-778-8585",
            "fax_number": "508-775-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LYNXHOLM CT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013019",
            "telephone_number": "508-778-8585",
            "fax_number": "508-775-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMJIAN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "80980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3141993",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J16097",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.