Individual provider Active NPI

Anthony R Conti, DO

  • Family Medicine Physician
  • Danvers, MA
National Provider Identifier
1215964291
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71416 Issued in MA
Practice address
140 Commonwealth Ave
Ste 104
Danvers, MA 01923
Phone
(978) 774-2119
Fax
(978) 762-0511
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71416 MA Primary

Addresses

Primary practice location

140 Commonwealth Ave
Ste 104
Danvers, MA 01923

Mailing address

140 Commonwealth Ave
Ste 104
Danvers, MA 01923
Phone (978) 774-2119

Other identifiers 1

IdentifierTypeStateIssuer
3103056MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170419001014 FL Practitioner - Family PracticePractitioner - Other (Physician) 4789622895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breezemed Urgent Care LLCGroup PAC ID 9335520790, 4 clinicians

Practice addresses (Care Compare)

15044 Sandpiper LN
Unit 8
Naples, FL 34114-8585
Phone (239) 529-2142

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71416MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rcna1 PLLC Current Accepting new patients
Thse - Marco Urgent Care LLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Breezemed Urgent Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Valley Regional Medical Services Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

979 N Collier Blvd
Marco Island, FL 34145
Phone (239) 376-3260

15044 Sandpiper Ln
Unit 8
Naples, FL 34114
Phone (239) 529-2142

14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672

129 Turnpike St
North Andover, MA 01845
Phone (978) 470-0800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1215964291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE",
            "address_2": "STE 104",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-2119",
            "fax_number": "978-762-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE",
            "address_2": "STE 104",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-2119",
            "fax_number": "978-762-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "71416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103056",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.