Individual provider Active NPI

Philip Moraitis, M.D.

  • Specialist
  • Springfield, MA
National Provider Identifier
1396730172
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
79560 Issued in MA
Practice address
3640 Main St
Suite 205
Springfield, MA 01107-1145
Phone
(413) 739-7367
Fax
(413) 737-2686
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 79560 MA Primary

Addresses

Primary practice location

3640 Main St
Suite 205
Springfield, MA 01107-1145

Mailing address

3640 Main St
Suite 205
Springfield, MA 01107-1145
Phone (413) 739-7367

Other identifiers 11

IdentifierTypeStateIssuer
779560OtherMACONNECTICARE
J14560OtherMAMA BLUE SHIELD
079560OtherMATUFTS
P1644826OtherMAOXFORD HEALTH PLANS
0115328OtherMAAETNA GROUP NO.
3152250002OtherMACIGNA
010079560MA01OtherMACONNECTICUT BLUE SHIELD
151179OtherMAHARVARD PILGRIM
180026086OtherMARAILROAD MEDICARE
080434OtherMAUNITED HEALTH CARE
18478OtherMAHEALTH NEW ENGLAND

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
I20050503000520 MA Practitioner - Ophthalmology 9638118292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Eye Associates IncGroup PAC ID 0446293542, 5 clinicians

Practice addresses (Care Compare)

3640 Main St
Suite 205
Springfield, MA 01107-1139
Phone (413) 739-7367

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79560MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Eye Associates Inc Specialist CurrentSince Jul 1, 1988 Accepting new patients

Locations

3640 Main St
Ste 205
Springfield, MA 01107
Phone (413) 739-7367

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1396730172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-739-7367",
            "fax_number": "413-737-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-739-7367",
            "fax_number": "413-737-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAITIS",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "79560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "779560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BLUE SHIELD",
            "identifier": "J14560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "079560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P1644826",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NO.",
            "identifier": "0115328",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3152250002",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT BLUE SHIELD",
            "identifier": "010079560MA01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "151179",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180026086",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "080434",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "18478",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.