Active NPI
Philip Moraitis, M.D.
- Specialist
- Springfield, MA
National Provider Identifier
1396730172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 79560
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 779560 | Other | MA | CONNECTICARE |
| J14560 | Other | MA | MA BLUE SHIELD |
| 079560 | Other | MA | TUFTS |
| P1644826 | Other | MA | OXFORD HEALTH PLANS |
| 0115328 | Other | MA | AETNA GROUP NO. |
| 3152250002 | Other | MA | CIGNA |
| 010079560MA01 | Other | MA | CONNECTICUT BLUE SHIELD |
| 151179 | Other | MA | HARVARD PILGRIM |
| 180026086 | Other | MA | RAILROAD MEDICARE |
| 080434 | Other | MA | UNITED HEALTH CARE |
| 18478 | Other | MA | HEALTH 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
Enrollment records 1
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
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 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 356 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79560 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Eye Associates Inc | Specialist | Current | 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.
-
- Specialist
- Springfield, MA
- NPI 1609880467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.