Andre J Witkin, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

250825 Issued in MA

Practice address

800 Washington St
Box 450
Boston, MA 02111-1552

Phone

(917) 647-3829

NPI assigned

Jan 22, 2008

Last updated

May 11, 2020By 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 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Ophthalmology

Education

JS Weill Medical College, Cornell University, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Consultants of Boston IncGroup PAC ID 4789651498, 68 clinicians

Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medical Center Hospital, Boston, MA, CCN 220116
• Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awitkin56111@tuftsmedicine.direct-ci.com
• Direct secure messaging: witkin.andre.mse@direct.partners.masshiway.net
• Direct secure messaging: witkin.andrew@elincdirect.org

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.

• Ophthalmic Consultants of Boston, Inc.

  dba Ophthalmic Consultants of Boston

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1932146594
  Medicare reassignment Care Compare group NPD
• Pratt Ophthalmology Associates Inc

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1083660534
  Medicare reassignment Care Compare group NPD
• Andover Eye Associates, Inc

  • Ophthalmology Physician
  • Andover, MA
  • NPI 1588678551
  Medicare reassignment NPD
• Eye Center of the North Shore, LLC

  • Ophthalmology Physician
  • Salem, MA
  • NPI 1053562330
  Medicare reassignment NPD
• Microsurgical Eye Consultants

  • Specialist
  • Peabody, MA
  • NPI 1922108711
  Medicare reassignment NPD
• North Suburban Eye Associates LLC

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1942737226
  Medicare reassignment NPD
• North Suburban Eye Associates PC

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1942351994
  Medicare reassignment NPD
• Tallman Eye Associates, PC

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1194833467

  NH

  Medicare reassignment NPD
• Tallman Eye Bidco

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1033419072
  Medicare reassignment NPD
• Tallman Eye Whittier

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1639768229
  Medicare reassignment NPD
• Eye Center of the North Shore, LLC

  dba Eye Center Optical

  • Eyewear Supplier
  • Salem, MA
  • NPI 1609177948
  NPD
• Ophthalmic Consultants of Boston, Inc

  • Eyewear Supplier
  • East Weymouth, MA
  • NPI 1851966162

  Ophthalmology

  NPD

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

• Massachusetts Eye and Ear Infirmary

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1639101751
  Care Compare affiliation
• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1285811216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "BOX 450",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "917-647-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Borthwick Ave Ste 200E",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014184",
            "country_code": "US",
            "telephone_number": "603-436-1773",
            "fax_number": "603-427-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITKIN",
        "first_name": "ANDRE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "250825",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD439612",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NH",
            "license": "15686",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "250825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093174A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081668",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Withings Medical Group KS PA
• Withings Medical Group NJ PA
• Withings Medical Group PA
• Susan M Witkie, M.D.
• Alison Shelley Witkin, MD
• Ariana M. Witkin, MD
• Leah Witkin, PA-C
• Elan Witkowski, M.D.
• Elizabeth-Ann Michelle Witkowski, R.N.
• Laura Marie Witman

• Retina Specialist (Ophthalmology) Physician in Boston, MA
• Providers in Boston, MA by specialty
• Retina Specialist (Ophthalmology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.