Individual provider Active NPI

Thomas R Maselli, OD

  • Optometrist
  • North Adams, MA
National Provider Identifier
1396718839
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2931 Issued in MA
Practice address
151 Ashland St
North Adams, MA 01247
Phone
(413) 662-2020
Fax
(413) 662-2908
NPI assigned
Feb 7, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2931 MA Primary
Optometrist 152W00000X 201 VT

Addresses

Primary practice location

151 Ashland St
North Adams, MA 01247

Mailing address

151 Ashland St
North Adams, MA 01247
Phone (413) 662-2020

Other identifiers 1

IdentifierTypeStateIssuer
0341827MedicaidMA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000229 MA Practitioner - Optometry 1850382946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Tanzman Maselli and Associates PCGroup PAC ID 2860483955, 3 clinicians

Practice addresses (Care Compare)

151 Ashland St
North Adams, MA 01247-4522
Phone (413) 662-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanzman, Maselli & Associates, P.C. Optometrist CurrentSince Oct 15, 2001 Accepting new patients

Locations

151 Ashland St
North Adams, MA 01247
Phone (413) 662-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1396718839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ASHLAND ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "01247",
            "telephone_number": "413-662-2020",
            "fax_number": "413-662-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ASHLAND ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "01247",
            "telephone_number": "413-662-2020",
            "fax_number": "413-662-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASELLI",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2931",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341827",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.