Individual provider Active NPI

Tomas Andersen

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1336608124
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1014691 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3096
Phone
(617) 573-4443
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1014691 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3096

Mailing address

243 Charles St
Boston, MA 02114-3096
Phone (617) 573-4443

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
I20230517002768 MA Practitioner - Ophthalmology 5890151807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Eye Associates, Inc.Group PAC ID 4789571225, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

2005 Bay St
Suite 206
Taunton, MA 02780-1085
Phone (508) 823-7473

22 Christy Dr
Brockton, MA 02301-1839
Phone (508) 588-3060

850 Harrison Ave
Boston, MA 02118-4001
Phone (617) 414-4020

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Sep 1, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Sep 1, 2024 Accepting new patients
Boston University Eye Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

850 Harrison Ave
#2
Boston, MA 02118
Phone (617) 414-4020

850 Harrison Ave
#3
Boston, MA 02118
Phone (617) 414-4020

22 Christy Dr
Ste 1
Brockton, MA 02301
Phone (508) 588-3060

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

2005 Bay St
Ste 206
Taunton, MA 02780
Phone (508) 822-2266

Interoperability endpoints

  • Direct secure messaging: tandersen245821@direct.bmc.masshiway.net

Organizations & group practices 4

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 8

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1336608124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143096",
            "telephone_number": "617-573-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143096",
            "telephone_number": "617-573-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "TOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1014691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.