Active NPI
Arthur J Gonsalves, MD
- Vascular Surgery Physician
- Methuen, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 79193
- Practice address
- 380 Merrimack St
Suite 1C
Methuen, MA 01844-5870 - Phone
- (978) 837-3317
- Fax
- (978) 837-3318
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 79193 | MA | Primary |
Addresses
Primary practice location
380 Merrimack St
Suite 1C
Methuen, MA 01844-5870
Mailing address
380 Merrimack St
Suite 1C
Methuen, MA 01844-5870
Phone (978) 837-3317
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110060172A | Medicaid | MA | |
| J30613 | Other | MA | BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Tufts University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
380 Merrimack St
Suite 1C
Methuen, MA 01844-5871
Phone (978) 837-3317
Hospital & facility affiliations
- Merrimack Health Lawrence Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 51 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular and Vein Associates, PC | Vascular Surgery | Current | Accepting new patients |
| Lawrence General Hospital | Past | Accepting new patients |
Locations
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
380 Merrimack St
Ste 1C
Methuen, MA 01844
Phone (978) 837-3317
5 Essex Green Dr
Ste 36
Peabody, MA 01960
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEAHAA/Endpoint/HEAHAA
- https://fhir4.healow.com/fhir/r4/HEAHAA
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.
-
- Vascular Surgery Physician
- Methuen, MA
- NPI 1437274909
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1235216870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MERRIMACK ST",
"address_2": "SUITE 1C",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445870",
"telephone_number": "978-837-3317",
"fax_number": "978-837-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 MERRIMACK ST",
"address_2": "SUITE 1C",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445870",
"telephone_number": "978-837-3317",
"fax_number": "978-837-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSALVES",
"first_name": "ARTHUR",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "79193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110060172A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J30613",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.