Active NPI
Lampros A Minos, PA-C
- Surgical Physician Assistant
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 579
- Practice address
- 840 Winter St
Waltham, MA 02451-1433 - Phone
- (617) 738-8642
- Fax
- (617) 202-4172
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 579 | MA | Primary |
Addresses
Primary practice location
840 Winter St
Waltham, MA 02451-1433
Mailing address
20 Guest St Ste 225
Brighton, MA 02135-2065
Phone (617) 738-8642
Other practice location 1
300 Mount Auburn St
Suite 505
Cambridge, MA 02138-5600
Phone (617) 491-6766
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Guest St
Suite 225
Brighton, MA 02135-2065
Phone (617) 738-8642
71 Border Rd
Suite 200
Waltham, MA 02451-1044
Phone (617) 738-8642
840 Winter St
Waltham, MA 02451-1433
Phone (781) 487-9444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 579 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Pro Sports Orthopedics, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Massachusetts Institute of Technology | Past | Accepting new patients |
Locations
20 Guest St
Ste 225
Brighton, MA 02135
Phone (617) 586-1900
736 Cambridge St
Fl 7
Brighton, MA 02135
Phone (617) 562-7026
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
300 Mount Auburn St
Ste 505
Cambridge, MA 02138
Phone (617) 491-6766
840 Winter St
Waltham, MA 02451
Phone (781) 487-9944
Interoperability endpoints
- lampros.minos.1@14781.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Brighton, MA
- NPI 1619507043
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Orthopaedic Surgery Physician
- Brighton, MA
- NPI 1396083937
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
dba MIT Health
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1346308723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1396892097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GUEST ST STE 225",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352065",
"telephone_number": "617-738-8642",
"fax_number": "617-202-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 WINTER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511433",
"telephone_number": "617-738-8642",
"fax_number": "617-202-4172"
}
],
"practiceLocations": [
{
"address_1": "300 Mount Auburn St",
"address_2": "Suite 505",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021385600",
"country_code": "US",
"telephone_number": "617-491-6766",
"fax_number": "617-491-2552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINOS",
"first_name": "LAMPROS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.