Individual provider Active NPI

Viriato Manuel Fiallo, M.D.

  • Surgery Physician
  • Springfield, MA
National Provider Identifier
1326015983
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
70766 Issued in MA
Practice address
2 Medical Center Dr
Suite # 404
Springfield, MA 01107-1270
Phone
(413) 736-3163
Fax
(413) 733-0206
NPI assigned
Mar 2, 2006
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 70766 MA Primary

Addresses

Primary practice location

2 Medical Center Dr
Suite # 404
Springfield, MA 01107-1270

Mailing address

PO Box 10417
Holyoke, MA 01041-2017
Phone (413) 540-0150

Other identifiers 9

IdentifierTypeStateIssuer
12337OtherMAHEALTH NEW ENGLAND
3054659MedicaidMA
4848319-004OtherCIGNA
1704472OtherUNITED HEALTH CARE
801591OtherHAVARD PILGRIM HEALTH CAR
715050OtherTUFTS HEALTH INSURANCE
484559OtherCCARE
J09106OtherBLUE CROSS BLUE SHIELD
2033361OtherAETNA

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
I20050317000739 MA Practitioner - General Surgery 8123917341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

175 Carew St
Suite 110
Springfield, MA 01104-2389
Phone (413) 452-6496

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70766MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Mar 15, 2018 Accepting new patients
Riverbend Medical Group, Inc. Surgery CurrentSince Mar 15, 2018 Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Baystate Affiliated Practice Organization Surgery Past Accepting new patients
Katie Defoe-Raymond Past Accepting new patients
Baystate Medical Practices, Inc Surgery Past Accepting new patients

Locations

100 Wason Ave
Ste 110
Springfield, MA 01107
Phone (413) 304-2171

175 Carew St
Ste 110
Springfield, MA 01104
Phone (413) 732-4269

175 Carew St
Ste 120
Springfield, MA 01104
Phone (413) 732-4269

175 Carew St
Ste 200
Springfield, MA 01104
Phone (413) 734-8254

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

55 Saint George Rd
Springfield, MA 01104
Phone (413) 276-4543

Interoperability endpoints

  • Direct secure messaging: vfiallo2388386@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1326015983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017",
            "telephone_number": "413-540-0150",
            "fax_number": "413-540-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE # 404",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-736-3163",
            "fax_number": "413-733-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALLO",
        "first_name": "VIRIATO",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "70766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "12337",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054659",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4848319-004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1704472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAVARD PILGRIM HEALTH CAR",
            "identifier": "801591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH INSURANCE",
            "identifier": "715050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCARE",
            "identifier": "484559",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J09106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2033361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.