Organization Active NPI

Cape and Islands Endoscopy Center LLC

  • Endoscopy Clinic/Center
  • Hyannis, MA
National Provider Identifier
1316094824
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
CAPE AND ISLANDS ENDOSCOPY CENTER LLC
Practice address
700 Attucks LN
Unit 1B
Hyannis, MA 02601-1809
Phone
(508) 775-7751
Fax
(508) 775-7752
NPI assigned
Jan 5, 2007
Last updated
Jan 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Dr. Alexandre K Nader, M.D.NPI 1518914100
Title
Partner
Phone
(508) 775-7751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X MA Primary

Addresses

Primary practice location

700 Attucks LN
Unit 1B
Hyannis, MA 02601-1809

Mailing address

700 Attucks LN
Unit 1B
Hyannis, MA 02601-1809
Phone (508) 775-7751

Other identifiers 1

IdentifierTypeStateIssuer
110070395BMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060308000473 MA Part B Supplier - Ambulatory Surgical Center 1759398266 Receives reassigned benefits from 3 practitioners
Practice locations: Hyannis, MA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cape and Islands Endoscopy Center LLCCCN 22C0001052
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1041840Cape and Islands Endoscopy Center LLC700 Attucks Lane Suite 1B, Hyannis, MA 02601Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/466/brand/1/csg/42/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1316094824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN",
            "address_2": "UNIT 1B",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "508-775-7751",
            "fax_number": "508-775-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN",
            "address_2": "UNIT 1B",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "508-775-7751",
            "fax_number": "508-775-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE AND ISLANDS ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "NADER",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-775-7751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110070395B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.