Individual provider Active NPI

Andrew Orenberg

  • Ophthalmology Physician
  • Marblehead, MA
National Provider Identifier
1144754086
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
287387 Issued in MA
Practice address
1 Widger Rd Ste 108
Marblehead, MA 01945-2100
Phone
(781) 631-8300
Fax
(781) 639-9017
NPI assigned
Apr 18, 2017
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 287387 MA Primary

Addresses

Primary practice location

1 Widger Rd Ste 108
Marblehead, MA 01945-2100

Mailing address

1 Widger Rd Ste 108
Marblehead, MA 01945-2100
Phone (781) 696-8490

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
I20210812003041 MA Practitioner - Ophthalmology 4284970856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marblehead Ophthalmology PCGroup PAC ID 2365892445, 2 clinicians

Practice addresses (Care Compare)

1 Widger Rd
Suite 108
Marblehead, MA 01945-2100
Phone (781) 631-8300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marblehead Ophthalmology PC Ophthalmology CurrentSince Dec 8, 2023 Accepting new patients
Marblehead Ophthalmology 2 LLC Ophthalmology Current Accepting new patients
Microsurgical Eye Consultants Ophthalmology PastSince Aug 2, 2021 Accepting new patients

Locations

1 Widger Rd
Ste 108
Marblehead, MA 01945
Phone (781) 631-8300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1144754086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD STE 108",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452100",
            "telephone_number": "781-696-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD STE 108",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452100",
            "telephone_number": "781-631-8300",
            "fax_number": "781-639-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENBERG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "287387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

Verify at the official NPI Registry.