Active NPI
Frank R Virnelli, MD
- Plastic Surgery Physician
- Winchester, MA
National Provider Identifier
1215948195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 32985
- Practice address
- 15 Dix St
Winchester, MA 01890-1870 - Phone
- (781) 729-0947
- Fax
- (781) 729-3569
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 32985 | MA | Primary |
Addresses
Primary practice location
15 Dix St
Winchester, MA 01890-1870
Mailing address
15 Dix Street
Winchester, MA 01890-1870
Phone (781) 729-0947
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B53059 | Other | MA | BCBS |
| 21731 | Other | MA | HARVARD PILGRIM |
| 705054 | Other | MA | TUFTS |
| 0190179 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery of Winchester PC | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Winchester, MA
- NPI 1326094277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1215948195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 DIX STREET",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901870",
"telephone_number": "781-729-0947",
"fax_number": "781-729-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 DIX ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901870",
"telephone_number": "781-729-0947",
"fax_number": "781-729-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRNELLI",
"first_name": "FRANK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "32985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "B53059",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "21731",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "705054",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0190179",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.