Joseph A. Santos Afonso, M.D.
Individual provider Active NPI Psychiatry Physician · Fall River, MA
NPI 1396759015 · NPPES record last updated Jun 20, 2013
Key facts
- NPI
- 1396759015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 151340 (MA)
- Practice address
- 49 Hillside St
Fall River, MA 02720-5211 - Phone
- (508) 235-7200
- Fax
- (508) 235-7340
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Commonwealth of Massachusetts
Practice addresses (Care Compare)
49 Hillside St
Fall River, MA 02720-5211
Phone (508) 235-7400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130809000275 | MA | Practitioner - Psychiatry |
6800072851 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151340 | MA | MD | Psychiatry Physician |
| MD09500 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current |
Accepting new patients | |
| The Commonwealth of Massachusetts | Current |
Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current |
Accepting new patients |
Locations
49 Hillside St
Fall River, MA 02720
Phone (508) 235-7200
830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600
60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD09500 | RI | |
| Psychiatry Physician | 2084P0800X | 151340 | MA | Yes |
Addresses
Primary practice location
49 Hillside St
Fall River, MA 02720-5211
Mailing address
49 Hillside St
Fall River, MA 02720-5211
Phone (508) 235-7200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83701031 | Medicaid | MA |
Other names
- Dr. Jose A. Afonso
Other providers in Fall River, MA
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- Patricia A Affonso
- Agape Dermatology of Fall River LLC
- Agape Medical Spa and Weight Loss Center LLC
- Agape of Fall River Dermatology
- Purva Agarwal
- Agewise Home Care LLC
All providers in Fall River, MA · Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.