NPIMap

Individual provider Active NPI

Frederico Calvet Beserra, MD

  • Internal Medicine Physician
  • Lawrence, MA
National Provider Identifier
1366683997
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
241942 Issued in MA
Practice address
119 Thoreau Way
Apt 633
Lawrence, MA 01843-3911
Phone
(401) 456-2179
NPI assigned
Mar 11, 2009
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241942 MA Primary

Addresses

Primary practice location

119 Thoreau Way
Apt 633
Lawrence, MA 01843-3911

Mailing address

119 Thoreau Way
Apt 633
Lawrence, MA 01843-3911
Phone (401) 456-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171201001039 FL Practitioner - Internal MedicinePractitioner - Hospitalist 2769521939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 548-1953

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241942MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHA Associates LLC CurrentSince Aug 20, 2021 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4346

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 1

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1366683997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 THOREAU WAY",
            "address_2": "APT 633",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433911",
            "telephone_number": "401-456-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 THOREAU WAY",
            "address_2": "APT 633",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018433911",
            "telephone_number": "401-456-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESERRA",
        "first_name": "FREDERICO",
        "middle_name": "CALVET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "241942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.