Individual provider Active NPI

Pedro M Sanz-Altamira, M.D.

  • Hematology & Oncology Physician
  • Lawrence, MA
National Provider Identifier
1326021429
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
80463 Issued in MA
Practice address
25 Marston St
Suite #301
Lawrence, MA 01841-2310
Phone
(978) 946-8230
Fax
(978) 946-8226
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 80463 MA Primary

Addresses

Primary practice location

25 Marston St
Suite #301
Lawrence, MA 01841-2310

Mailing address

10 Willard St
Quincy, MA 02169-1281
Phone (617) 479-1458

Other identifiers 6

IdentifierTypeStateIssuer
0021712OtherMAAETNA US HEALTH
B20804901OtherMACIGNA
080463OtherMATUFTS HEALTH CARE
14360OtherMAHARVARD PILGRIM
3186873MedicaidMA
J19263OtherMABLUE CROSS BLUE SHIELD

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
I20040603000705 MA Practitioner - HematologyPractitioner - Internal MedicinePractitioner - Hematology/OncologyPractitioner - Medical Oncology 4183606197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Medical Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

450 Brookline Ave
Boston, MA 02215-5418

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10238MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Sep 3, 2019 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Sep 3, 2019 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Sep 3, 2019 Accepting new patients
LGH Professional Services LLC Past Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

1 General St
#4
Lawrence, MA 01841
Phone (978) 946-8230

5 Branch St
Methuen, MA 01844
Phone (617) 632-3586

70 East St
Methuen, MA 01844
Phone (978) 682-1906

Interoperability endpoints

  • Direct secure messaging: sanz-altamira.pedro.dfci@direct.partners.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1326021429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLARD ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691281",
            "telephone_number": "617-479-1458",
            "fax_number": "617-479-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "address_2": "SUITE #301",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412310",
            "telephone_number": "978-946-8230",
            "fax_number": "978-946-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANZ-ALTAMIRA",
        "first_name": "PEDRO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "80463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH",
            "identifier": "0021712",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20804901",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "080463",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "14360",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3186873",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J19263",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.