Individual provider Active NPI

Eduardo Moraes Leao Peixoto

  • Internal Medicine Physician
  • North Easton, MA
National Provider Identifier
1124433347
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
272995 Issued in MA
Practice address
31 Roche Brothers Way
North Easton, MA 02356-1032
Phone
(508) 941-7268
Fax
(508) 894-0412
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 260479 MA
Internal Medicine Physician 207R00000X 272995 MA Primary

Addresses

Primary practice location

31 Roche Brothers Way
North Easton, MA 02356-1032

Mailing address

31 Roche Brothers Way
North Easton, MA 02356-1032
Phone (508) 941-7268

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
I20171028000238 MA Practitioner - Internal Medicine 6709152291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

130 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 941-7268

Hospital & facility affiliations

  • Brockton Vna Home health agency, Brockton, MA, CCN 227006
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260479MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients

Locations

130 Quincy Ave
Brockton, MA 02302
Phone (508) 941-7268

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

178 Quincy Ave
Brockton, MA 02302
Phone (508) 584-8580

31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800

31 Roche Brothers Way
North Easton, MA 02356
Phone (508) 894-8730

Interoperability endpoints

  • Direct secure messaging: eduardo.peixoto@direct.signature.masshiway.net

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 4

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1124433347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROTHERS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-941-7268",
            "fax_number": "508-894-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROTHERS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-941-7268",
            "fax_number": "508-894-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAES LEAO PEIXOTO",
        "first_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "260479",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "272995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.