Active NPI
Viriato Manuel Fiallo, M.D.
- Surgery Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 70766
- 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, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12337 | Other | MA | HEALTH NEW ENGLAND |
| 3054659 | Medicaid | MA | |
| 4848319-004 | Other | CIGNA | |
| 1704472 | Other | UNITED HEALTH CARE | |
| 801591 | Other | HAVARD PILGRIM HEALTH CAR | |
| 715050 | Other | TUFTS HEALTH INSURANCE | |
| 484559 | Other | CCARE | |
| J09106 | Other | BLUE CROSS BLUE SHIELD | |
| 2033361 | Other | AETNA |
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
- General Surgery
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70766 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Riverbend Medical Group, Inc. | Surgery | Current | 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
- 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.
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1841651197
Surgery
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
-
dba Trinity Health Of New England Medical Group
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1265023154
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1043256043
Surgery
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Surgery
-
- Registered Dietitian
- Springfield, MA
- NPI 1316488703
-
dba Mercy Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
dba Mercy Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.