Active NPI
Tatsuo Hirose, M.D., P.C.
- Ophthalmology Physician
- Boston, MA
National Provider Identifier
1154501468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- TATSUO HIROSE, M.D., P.C.
- Practice address
- 1 Autumn St
6TH Floor
Boston, MA 02215-5301 - Phone
- (617) 632-7777
- Fax
- (617) 632-7770
- NPI assigned
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard T Bean
- Title
- Dir of Finance & It
- Phone
- (617) 632-7787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1 Autumn St
6TH Floor
Boston, MA 02215-5301
Mailing address
1 Autumn St
6TH Floor
Boston, MA 02215-5301
Phone (617) 632-7777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017369 | Medicaid | MA | |
| M13119 | Other | MA | BCBS MA |
| 152339 | Other | MA | HARVARD PILGRIM |
| 709545 | Other | MA | TUFTS HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
1 Autumn St
Fl 6
Boston, MA 02215
Phone (617) 632-7777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1598739880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1154501468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AUTUMN ST",
"address_2": "6TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155301",
"telephone_number": "617-632-7777",
"fax_number": "617-632-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AUTUMN ST",
"address_2": "6TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155301",
"telephone_number": "617-632-7777",
"fax_number": "617-632-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TATSUO HIROSE, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "BEAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DIR OF FINANCE & IT",
"authorized_official_telephone_number": "617-632-7787",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017369",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "M13119",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "152339",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "709545",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.