Individual provider Active NPI

Sasha Danielle Girouard, M.D.

  • Dermatology Physician
  • W Yarmouth, MA
National Provider Identifier
1346505120
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
265797 Issued in MA
Practice address
134 Ansel Hallet Rd
W Yarmouth, MA 02673-2582
Phone
(508) 771-9779
Fax
(508) 771-4355
NPI assigned
Jul 9, 2012
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 265797 MA Primary

Addresses

Primary practice location

134 Ansel Hallet Rd
W Yarmouth, MA 02673-2582

Mailing address

134 Ansel Hallet Rd
W Yarmouth, MA 02673-2582
Phone (508) 771-9779

Other names 1

  • Sasha Danielle Mazza Former name

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
I20160909000644 MA Practitioner - Dermatology 8426285768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 Falmouth Rd
Suite 202
Hyannis, MA 02601-2324
Phone (508) 775-0202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions1983
Removal or shaving of skin growth16
Skin biopsy866

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Dermatology CurrentSince Feb 1, 2023 Accepting new patients

Locations

1030 Falmouth Rd
Ste 202
Hyannis, MA 02601
Phone (508) 771-9779

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Organizations & group practices 2

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 1

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1346505120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "city": "W YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "508-771-9779",
            "fax_number": "508-771-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "city": "W YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "508-771-9779",
            "fax_number": "508-771-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROUARD",
        "first_name": "SASHA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "265797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "MAZZA",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in W Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.