Individual provider Active NPI

Marisa G Tieger, MD

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1174972541
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
283022 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3002
Phone
(617) 573-3416
NPI assigned
Jun 7, 2016
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 283022 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3002

Mailing address

243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3416

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
I20200717001965 MA Practitioner - Ophthalmology 7810268042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Eye Associates PCGroup PAC ID 3476512625, 13 clinicians
Newton Wellesley Eye Associates PCGroup PAC ID 1355361742, 14 clinicians
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

33 Bartlett St
Suite 101
Lowell, MA 01852-1300
Phone (978) 256-5600

60 Walnut St
Suite 2
Wellesley, MA 02481-2103
Phone (617) 964-1050

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283022MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Ophthalmology Associates, Inc CurrentSince Sep 1, 2023 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients
Massachusetts Eye Associates PC CurrentSince Sep 1, 2023 Accepting new patients
Massachusetts Eye Associates PC Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
Ste 201
Boston, MA 02111

19 Village Sq
Chelmsford, MA 01824
Phone (978) 256-5600

33 Bartlett St
Ste 101
Lowell, MA 01852
Phone (978) 256-5600

2000 Washington St
Ste 462
Newton Lower Falls, MA 02462
Phone (617) 332-6311

Interoperability endpoints

  • Direct secure messaging: mtieger94816@tuftsmedicine.direct-ci.com
  • Direct secure messaging: tieger.marisa.nwh@direct.partners.masshiway.net

Organizations & group practices 5

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 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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1174972541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEGER",
        "first_name": "MARISA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "283022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.