Individual provider Active NPI

Nicholas M Rego, PA-C

  • Physician Assistant
  • Fall River, MA
National Provider Identifier
1144452681
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3831 Issued in MA
Practice address
277 Pleasant St Ste 101
Fall River, MA 02721-3005
Phone
(508) 672-0545
Fax
(508) 672-0547
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3831 MA Primary

Addresses

Primary practice location

277 Pleasant St Ste 101
Fall River, MA 02721-3005

Mailing address

277 Pleasant St Ste 101
Fall River, MA 02721-3005
Phone (508) 672-0545

Other practice location 1

535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

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
I20091119000465 MA Practitioner - Physician Assistant 2567500150 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

537 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3831MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jun 1, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Prima Care, PC CurrentSince Jun 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 1, 2022 Accepting new patients
Coastal Orthopaedic Institute PC Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 Hanover St
Ste 209
Fall River, MA 02720

235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525

277 Pleasant St
Ste 101
Fall River, MA 02721
Phone (508) 617-9740

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

537 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 672-0545

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

1816 Main Rd
Tiverton, RI 02878
Phone (401) 624-3501

Interoperability endpoints

  • Direct secure messaging: nrego236114@brownhealth.medalliesdirect.net
  • Direct secure messaging: nicholas.rego.1@2017.direct.athenahealth.com

Organizations & group practices 9

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1144452681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 101",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-672-0545",
            "fax_number": "508-672-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 101",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-672-0545",
            "fax_number": "508-672-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027471242",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "fax_number": "508-990-3218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGO",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.