Individual provider Active NPI

Nicolas Marcotte, MD.FRCSC.FACS.

  • Neurological Surgery Physician
  • Boston, MA
National Provider Identifier
1225260102
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
239448 Issued in MA
Practice address
125 Parker Hill Ave
Boston, MA 02120
Phone
(617) 754-5000
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 239448 MA Primary

Addresses

Primary practice location

125 Parker Hill Ave
Boston, MA 02120

Mailing address

PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherMABCBS OF MASS

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
I20091020000476 MA Practitioner - Neurosurgery 4486791654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239448MAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Sports & Shoulder Center, LLC Past Accepting new patients
New England Baptist Medical Associates, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/749/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nmarcotte333443@direct.bilh.masshiway.net

Organizations & group practices 2

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1225260102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020430086",
            "telephone_number": "781-749-9071",
            "fax_number": "781-749-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "617-754-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "MD.FRCSC.FACS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "239448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "PENDING",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.