Individual provider Active NPI

Frederique Popitz-Bergez, MD

  • Anesthesiology Physician
  • Westwood, MA
National Provider Identifier
1275519498
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
58845 Issued in MA
Practice address
690 Canton St Ste 240
Westwood, MA 02090-2326
Phone
(339) 204-9516
Fax
(781) 459-4698
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 58845 MA Primary

Addresses

Primary practice location

690 Canton St Ste 240
Westwood, MA 02090-2326

Mailing address

690 Canton St Ste 240
Westwood, MA 02090-2326
Phone (339) 204-9516

Other identifiers 1

IdentifierTypeStateIssuer
3049507MedicaidMA

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
I20080109000385 MA Practitioner - Anesthesiology 5799865226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians

Practice addresses (Care Compare)

99 Libbey Industrial Park
Weymouth, MA 02189-3101
Phone (781) 331-0537

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Anesthesiology CurrentSince May 21, 2019 Accepting new patients
Anesthesia Professionals, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Capa Anesthesia LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince May 21, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients

Locations

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

400 10th St E
Waconia, MN 55387

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1275519498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902326",
            "telephone_number": "339-204-9516",
            "fax_number": "781-459-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902326",
            "telephone_number": "339-204-9516",
            "fax_number": "781-459-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPITZ-BERGEZ",
        "first_name": "FREDERIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "58845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049507",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

Verify at the official NPI Registry.