Individual provider Active NPI

Rafael Vazquez, M.D.

  • Anesthesiology Physician
  • Salem, NH
National Provider Identifier
1194920769
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L-232767 Issued in MA
Practice address
30 Tuscan Blvd
Salem, NH 03079-3981
Phone
(845) 401-1269
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L-232767 MA Primary

Addresses

Primary practice location

30 Tuscan Blvd
Salem, NH 03079-3981

Mailing address

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (617) 726-3030

Other practice location 1

Massachusetts General Hospital
55 Fruit Street
Boston, MA 02114
Phone (617) 726-3030

Other practice location 2

30 Tuscan Blvd Ste 250
Salem, NH 03079-3983
Phone (845) 401-1269

Other practice location 3

30 Tuscan Blvd Ste 128
Salem, NH 03079-3982
Phone (845) 401-1269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120702000403 MA Practitioner - Anesthesiology 3779771902 Reassigns benefits to 3 organizations
I20221006000425 NH Practitioner - Anesthesiology 3779771902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-232767MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jun 1, 2012 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jun 11, 2012 Accepting new patients
Brigham & Womens Physicians Organization Inc Anesthesiology CurrentSince Jun 16, 2022 Accepting new patients
Mass General Brigham Medical Group, Inc. Anesthesiology CurrentSince Sep 26, 2022 Accepting new patients
General Hospital Corp Current Accepting new patients
Mass General Brigham Amsurg Inc. Past Accepting new patients
Select Anesthesia and Pain Management Group, PA Anesthesiology Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

30 Tuscan Blvd
Ste 250
Salem, NH 03079
Phone (845) 401-1269

30 Tuscan Blvd
Ste 128
Salem, NH 03079
Phone (845) 401-1269

Interoperability endpoints

  • Direct secure messaging: vazquez.rafael.mgh@direct.partners.masshiway.net

Organizations & group practices 7

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1194920769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TUSCAN BLVD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793981",
            "telephone_number": "617-726-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TUSCAN BLVD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793981",
            "telephone_number": "845-401-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Massachusetts General Hospital",
            "address_2": "55 Fruit Street",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "617-726-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Tuscan Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793983",
            "country_code": "US",
            "telephone_number": "845-401-1269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Tuscan Blvd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793982",
            "country_code": "US",
            "telephone_number": "845-401-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "L-232767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.