Active NPI
Coastal Medical Transportation Services LLC
- Land Ambulance
- Hyannis, MA
National Provider Identifier
1366882987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COASTAL MEDICAL TRANSPORTATION SERVICES LLC
- Practice address
- 372 Yarmouth Rd
Hyannis, MA 02601-2043 - Phone
- (508) 694-6687
- Fax
- (508) 694-7276
- NPI assigned
- Jun 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexandre Theoharidis
- Title
- Ceo
- Phone
- (508) 694-6687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
372 Yarmouth Rd
Hyannis, MA 02601-2043
Mailing address
PO Box 4110, Dept 3980
Woburn, MA 01888-4110
Phone (508) 694-6687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141224000924 | MA | Part B Supplier - Ambulance Service Supplier | 3274856281 | Practice locations: Hyannis, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2224425 | Coastal Medical Transportation Services, LLC | Certificate of waiver | May 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Coastal Medical Transportation Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Yarmouth Port, MA
- NPI 1285226407
Locations
17 Reardon Cir
South Yarmouth, MA 02664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1366882987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4110, DEPT 3980",
"city": "WOBURN",
"state": "MA",
"postal_code": "018884110",
"telephone_number": "508-694-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 YARMOUTH RD",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026012043",
"telephone_number": "508-694-6687",
"fax_number": "508-694-7276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL MEDICAL TRANSPORTATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-27",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "THEOHARIDIS",
"authorized_official_first_name": "ALEXANDRE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-694-6687"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.