Individual provider Active NPI

Alireza Atri, MD PHD

  • Neurological Surgery Physician
  • Boston, MA
National Provider Identifier
1326038506
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
160468 Issued in MA
Practice address
15 Parkman St
Wac 830
Boston, MA 02114-3117
Phone
(617) 726-1728
Fax
(617) 726-4101
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 160468 MA Primary

Addresses

Primary practice location

15 Parkman St
Wac 830
Boston, MA 02114-3117

Mailing address

PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 726-1728

Other identifiers 3

IdentifierTypeStateIssuer
J24478OtherMABCBS MA
160468OtherMATUFTS HEALTH PLAN
0164691MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20181109002542 AZ Practitioner - Neurology 7911084330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Alzheimers InstituteGroup PAC ID 8527070101, 30 clinicians

Practice addresses (Care Compare)

10515 W Santa Fe Dr
BLDG B 1St Floor
Sun City, AZ 85351-3020
Phone (623) 832-6530

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
71.03
Promoting interoperability
99
Improvement activities
40
Cost
80.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134413CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Alzheimer'S Institute CurrentSince Aug 28, 2018 Accepting new patients
Banner Alzheimer'S Institute CurrentSince Aug 28, 2018 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

901 E Willetta St
Fl 1
Phoenix, AZ 85006
Phone (602) 839-6901

901 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-6900

901 E Willetta St
Phoenix, AZ 85006
Phone (602) 839-6900

10515 W Santa Fe Dr
Fl 1BLDGB
Sun City, AZ 85351

10515 W Santa Fe Dr
Bldg B
Sun City, AZ 85351
Phone (623) 832-6500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1326038506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-726-1728",
            "fax_number": "617-726-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WAC 830",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-726-1728",
            "fax_number": "617-726-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATRI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "160468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J24478",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "160468",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164691",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.