Individual provider Active NPI

Thomas Randal Viveiros, ANP-BC, NP-C

  • Adult Health Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1245589506
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN233221 Issued in MA
Practice address
651 Orchard St
New Bedford, MA 02744-1008
Phone
(774) 202-7049
NPI assigned
Sep 2, 2012
Last updated
Sep 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN233221 MA Primary

Addresses

Primary practice location

651 Orchard St
New Bedford, MA 02744-1008

Mailing address

149 Ashley St
Fall River, MA 02720-1511
Phone (508) 837-1493

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000163 MA Practitioner - Nurse Practitioner 3173776895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.52 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
78.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN233221MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Services, LLC CurrentSince Mar 1, 2019 Accepting new patients
Royal Norwell Nursing & Rehabilitation Center LLC PastSince Jun 1, 2016 Accepting new patients
East Coast Medical Associates PLLC Past Accepting new patients
Aco Health Solutions PCP LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1245589506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ASHLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201511",
            "telephone_number": "508-837-1493",
            "fax_number": "508-567-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ORCHARD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027441008",
            "telephone_number": "774-202-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVEIROS",
        "first_name": "THOMAS",
        "middle_name": "RANDAL",
        "name_prefix": "Mr.",
        "credential": "ANP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN233221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.