Active NPI
Athena Xifaras, MD
- Pediatrics Physician
- New Bedford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 223793
- Practice address
- 225 Field St
New Bedford, MA 02740-2134 - Phone
- (508) 910-3371
- Fax
- (508) 910-3363
- NPI assigned
- Dec 1, 2005
- Last updated
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 223793 | MA | Primary |
Addresses
Primary practice location
225 Field St
New Bedford, MA 02740-2134
Mailing address
225 Field St
New Bedford, MA 02740-2134
Phone (508) 910-3371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223793 | Other | MA | MA LIC # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Massachusetts Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
225 Field St
New Bedford, MA 02740-2134
607 Indian Health Rd
Pine Ridge, SD 57770-3169
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223793 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Pediatric Associates, Inc | Pediatrics | Current | Accepting new patients |
| Southcoast Hospitals Group, Inc | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
300 Longwood Ave
Ofc
Boston, MA 02115
Phone (617) 355-8083
Interoperability endpoints
- axifaras15106@direct.southcoast.org
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
dba St. Luke's Hospital
- General Acute Care Hospital
- New Bedford, MA
- NPI 1447275037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1376527515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 FIELD ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402134",
"telephone_number": "508-910-3371",
"fax_number": "508-910-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 FIELD ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402134",
"telephone_number": "508-910-3371",
"fax_number": "508-910-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIFARAS",
"first_name": "ATHENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "223793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LIC #",
"identifier": "223793",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.