Individual provider Active NPI

Arfry Minier Marcelino-Tineo, MD

  • Surgical Critical Care Physician
  • Boston, MA
National Provider Identifier
1386091197
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
1013562 Issued in MA
Practice address
300 Brookline Ave
Boston, MA 02215-5403
Phone
(617) 632-9922
NPI assigned
May 22, 2016
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Surgical Critical Care Physician 2086S0102X 1013562 MA Primary

Addresses

Primary practice location

300 Brookline Ave
Boston, MA 02215-5403

Mailing address

335 Bay Rd
North Easton, MA 02356-2639
Phone (857) 308-7167

Other practice location 1

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 624-4242

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
I20230912001283 MA Practitioner - General Surgery 0345604294 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 534-7700

55 Fogg Rd
South Weymouth, MA 02190-2432
Phone (781) 624-8800

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013562MAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Sep 1, 2024 Accepting new patients
Brigham and Women's Hospital General Acute Care Hospital Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2023 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Aug 23, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2023 Accepting new patients
Coastal Medical Associates CurrentSince Aug 23, 2024 Accepting new patients
South Shore Hospital Inc. General Acute Care Hospital Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

110 Francis St
Boston, MA 02215
Phone (617) 632-7246

75 Francis St
Boston, MA 02115

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: amarcelinotineo333434@direct.bilh.masshiway.net
  • Direct secure messaging: marcelino-tineo.arfry.bwh@direct.partners.masshiway.net

Organizations & group practices 8

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 2

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": "1463875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1386091197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BAY RD",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562639",
            "telephone_number": "857-308-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155403",
            "telephone_number": "617-632-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Performance Dr",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021893141",
            "country_code": "US",
            "telephone_number": "781-624-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELINO-TINEO",
        "first_name": "ARFRY",
        "middle_name": "MINIER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-22",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "1013562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.