Nicole Alexis Siracusa, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

277372 Issued in MA

Practice address

32 S Main St Ste 100
Randolph, MA 02368-4835

Phone

(617) 696-0022

NPI assigned

Aug 13, 2015

Sex

Female

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
• Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
• Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nlopez251836@direct.bilh.masshiway.net

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.

• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  Medicare reassignment Care Compare group NPD
• Community Physicians Associates, Inc.

  • Family Medicine Physician
  • Milton, MA
  • NPI 1538154869
  NPD (past)

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

• Beth Israel Deaconess Hospital Milton Inc

  • General Acute Care Hospital
  • Milton, MA
  • NPI 1174618953
  Care Compare affiliation
• Boston Medical Center - South Corporation

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811
  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025
  Care Compare affiliation
• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1265808265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST STE 100",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684835",
            "telephone_number": "781-575-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST STE 100",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684835",
            "telephone_number": "617-696-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRACUSA",
        "first_name": "NICOLE",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "277372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Silletti
• Johnson Simeon
• Mindy Simeus, LPN
• Riccardo Simon
• Simply Orthodontics & Pediatrics of Randolph PLLC
• Alisa Slayman
• Kevin Small Jr.
• Kurt C Smiley, PTA
• Emily W Smith
• Denise K Snow Williams, OD

• Family Medicine Physician in Randolph, MA
• Providers in Randolph, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.