Individual provider Active NPI

Andrew J Gillies, MD

Ophthalmology Physician
Dedham, MA

National Provider Identifier

1174520563

Registry record updated Nov 15, 2011

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices3
NPI Registry JSON
Other providers in Dedham, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Ophthalmology PhysicianTaxonomy code 207W00000X
License: 55237 Issued in MA
Practice address: 980 Washington St
Suite 120
Dedham, MA 02026-6731
Phone: (781) 251-2222
Fax: (781) 234-0279
NPI assigned: Jun 30, 2005
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Ophthalmology Physician	207W00000X	55237	MA	Primary

Addresses

Primary practice location

980 Washington St
Suite 120
Dedham, MA 02026-6731

Mailing address

980 Washington St
Suite 120
Dedham, MA 02026-6731
Phone (781) 251-2222

Other identifiers 18

Identifier	Type	Issuer
055237	Other	TUFTS
055237	Other	TUFTS BENEFIT ADMINISTRAT
B77257	Other	FIRST SENIORITY
180009329	Other	RAILROAD MEDICARE
7538944	Other	HEALTHSOURSCE MASSACHUSET
055237	Other	TUFTS COMMONWEALTH PPO
15986	Other	HARVARD PILGRIM POS PPO
3031535	Other	MASS HEALTH (DIV MED SVCS
J07034	Other	BS-BLUE CARE 65
J07034	Other	BS-BLUE CARE ELECT
055237	Other	TUFTS TOTAL HEALTH PLAN
J07034	Other	HMO BLUE/BLUE CHOICE
J07034	Other	BLUE SHIELD INDEMNITY
08-00480	Other	UNITED HEALTHCARE(HMO&PPO
27410	Other	CHILDREN'S MEDICAL SECURI
7538944	Other	CIGNA HEALTH CARE
000600	Other	NEIGHBORHOOD HEALTH PLAN
055237	Other	TUFTS SECURE HORIZONS

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 ID	State	Provider type	PAC ID	Details
I20050405000260	MA	Practitioner - Ophthalmology	6103873948

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
55237	MA	MD	Ophthalmology Physician

Practice roles

Organization	Specialty	Status	New patients
Lexington Eye Associates - Bid	Ophthalmology	CurrentSince Jul 1, 2022	Accepting new patients
Lexington Eye Associates, Inc	Ophthalmology	CurrentSince Jul 1, 2022	Accepting new patients
Lexington Eye Associates, Inc.	Ophthalmology	CurrentSince Jul 1, 2022	Accepting new patients

Locations

300 Baker Ave
Ste 210
Concord, MA 01742
Phone (978) 369-1310

980 Washington St
Ste 120
Dedham, MA 02026
Phone (781) 251-2222

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

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 and National Provider Directory roles.

Lexington Eye Associates - Bid
- Ophthalmology Physician
- Lexington, MA
- NPI 1801204714
Ophthalmology
NPD
Lexington Eye Associates, Inc
- Ophthalmology Physician
- Lexington, MA
- NPI 1467502757
Ophthalmology
NPD
Lexington Eye Associates, Inc.
- Ophthalmology Physician
- Lexington, MA
- NPI 1194066001
Ophthalmology
NPD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1174520563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266731",
            "telephone_number": "781-251-2222",
            "fax_number": "781-234-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266731",
            "telephone_number": "781-251-2222",
            "fax_number": "781-234-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIES",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "55237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "055237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS BENEFIT ADMINISTRAT",
            "identifier": "055237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST SENIORITY",
            "identifier": "B77257",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009329",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURSCE MASSACHUSET",
            "identifier": "7538944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS COMMONWEALTH PPO",
            "identifier": "055237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM POS PPO",
            "identifier": "15986",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH (DIV MED SVCS",
            "identifier": "3031535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS-BLUE CARE 65",
            "identifier": "J07034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS-BLUE CARE ELECT",
            "identifier": "J07034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS TOTAL HEALTH PLAN",
            "identifier": "055237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE/BLUE CHOICE",
            "identifier": "J07034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDEMNITY",
            "identifier": "J07034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE(HMO&PPO",
            "identifier": "08-00480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MEDICAL SECURI",
            "identifier": "27410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "7538944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "000600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS SECURE HORIZONS",
            "identifier": "055237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.