Active NPI
Andrew V Tsitsilianos, MD
- Physical Medicine & Rehabilitation Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1015634
- Practice address
- 300 1St Ave
Boston, MA 02129-3109 - Phone
- (617) 952-5243
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 1015634 | MA | Primary |
Addresses
Primary practice location
300 1St Ave
Boston, MA 02129-3109
Mailing address
300 1St Ave
Boston, MA 02129-3109
Phone (617) 952-5243
Other practice location 1
785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2500
Other practice location 2
2020 59th St W
Bradenton, FL 34209-4669
Phone (941) 798-6513
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Commonwealth Medical College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 1St Ave
Charlestown, MA 02129-3109
Phone (617) 952-5000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015634 | MA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| The Spaulding Rehabilitation Hospital Corporation | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
300 1st Ave
Charlestown, MA 02129
Phone (617) 952-5000
Interoperability endpoints
- tsitsilianos.andrew.mgh@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1306341185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 1ST AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021293109",
"telephone_number": "617-952-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 1ST AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021293109",
"telephone_number": "617-952-5243"
}
],
"practiceLocations": [
{
"address_1": "785 Mamaroneck Ave",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "10605",
"country_code": "US",
"telephone_number": "914-597-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2020 59th St W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342094669",
"country_code": "US",
"telephone_number": "941-798-6513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSITSILIANOS",
"first_name": "ANDREW",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "1015634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.