Individual provider Active NPI

Shaunt Fereshetian, MD

  • Ophthalmology Physician
  • Peabody, MA
National Provider Identifier
1356910061
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1021690 Issued in MA
Practice address
31 Centennial Dr
Peabody, MA 01960-7901
Phone
(978) 531-4400
NPI assigned
Jun 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LP05431 RI
Ophthalmology Physician 207W00000X 1021690 MA Primary

Addresses

Primary practice location

31 Centennial Dr
Peabody, MA 01960-7901

Mailing address

31 Centennial Dr
Peabody, MA 01960-7901
Phone (978) 531-4400

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
I20250623003235 MA Practitioner - Ophthalmology 5698176188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Microsurgical Eye ConsultantsGroup PAC ID 9739140104, 12 clinicians

Practice addresses (Care Compare)

31 Centennial Dr
Peabody, MA 01960-7901
Phone (978) 531-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1021690MAMDClinical Social Worker
LP05431RIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Microsurgical Eye Consultants CurrentSince Aug 1, 2025 Accepting new patients
Microsurgical Eye Consultants Ophthalmology PastSince Jun 29, 2025 Accepting new patients

Locations

31 Centennial Dr
Peabody, MA 01960
Phone (978) 531-4400

Interoperability endpoints

  • Direct secure messaging: fereshetian.shaunt.mse@direct.partners.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1356910061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-531-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-531-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERESHETIAN",
        "first_name": "SHAUNT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "RI",
            "license": "LP05431",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1021690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.