Vitor Cardoso

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2287622 Issued in MA

Practice address

47 Florence Ave
Revere, MA 02151-3516

Phone

(617) 416-7087

NPI assigned

Feb 22, 2015

Last updated

Feb 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vitor.cardoso.1@19377.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19377/brand/1/csg/1/fhir/r4

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.

• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  Medicare reassignment NPD
• Elm Tree Clinic, LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1538609904
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Care Compare affiliation

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424563200000",
    "number": "1255723664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FLORENCE AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513516",
            "telephone_number": "617-416-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 FLORENCE AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513516",
            "telephone_number": "617-416-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "VITOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2287622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Byrne, M.D.
• Cambridge Public Health Commission (Cambridge Health Alliance Outpatient Pharmacy Revere)
• Debbie Ann Campbell, MA
• Melissa Canavan
• John William Cann, MSN, FNP-BC, APRN
• Caresafe Services LLC
• Karina Carmona
• Emily Bosworth Case, LICSW
• Erin Marie Casey
• Gina Maria Casey, PHARMD, RPH

• Nurse Practitioner in Revere, MA
• Providers in Revere, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; 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.

Verify at the official NPI Registry.