NPIMap

Individual provider Active NPI

Marisa Modini Bochman, MD

  • Family Medicine Physician
  • Ipswich, MA
National Provider Identifier
1366495749
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
160017 Issued in MA
Practice address
36 Essex Rd
Ipswich, MA 01938-2599
Phone
(978) 356-5522
Fax
(978) 356-0218
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 160017 MA Primary

Addresses

Primary practice location

36 Essex Rd
Ipswich, MA 01938-2599

Mailing address

36 Essex Road
Ipswich, MA 01938
Phone (978) 356-5522

Other identifiers 1

IdentifierTypeStateIssuer
3197611MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000270 MA Practitioner - Family Practice 3870582463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beth Israel Lahey Health Primary Care, IncGroup PAC ID 7719291434, 351 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

29 Mall Rd
Burlington, MA 01805-0001

298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000

36 Essex Rd
Ipswich, MA 01938-2599
Phone (978) 356-5522

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8771

Hospital & facility affiliations

  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • All Care Vna-Greater Lynn Inc Home health agency, Lynn, MA, CCN 227263
  • Beth Israel Lahey Health at Home Hospice, Danvers, MA, CCN 221541
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care, Inc. Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Sep 1, 2025 Accepting new patients
Lahey Clinic, Inc CurrentSince Aug 9, 1999 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

36 Essex Rd
Ste 1
Ipswich, MA 01938
Phone (978) 356-5522

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

205 Willow St
Bldg C
South Hamilton, MA 01982
Phone (978) 209-9150

205 Willow St
#C
South Hamilton, MA 01982
Phone (978) 468-7346

Interoperability endpoints

  • Direct secure messaging: mbochman14272@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 11

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1366495749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ESSEX ROAD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "01938",
            "telephone_number": "978-356-5522",
            "fax_number": "978-356-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ESSEX RD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382599",
            "telephone_number": "978-356-5522",
            "fax_number": "978-356-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHMAN",
        "first_name": "MARISA",
        "middle_name": "MODINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "160017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3197611",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

Verify at the official NPI Registry.