NPIMap

Individual provider Active NPI

Simon Faynzilberg, MD

  • Pain Medicine (Anesthesiology) Physician
  • Brookline, MA
National Provider Identifier
1417956418
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
14220 Issued in NH
Practice address
157 Winthrop Rd # 2
Brookline, MA 02445-4642
Phone
(617) 817-2070
Fax
(781) 457-1410
NPI assigned
Jul 20, 2005
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 160820 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 14220 NH Primary

Addresses

Primary practice location

157 Winthrop Rd # 2
Brookline, MA 02445-4642

Mailing address

157 Winthrop Rd # 2
Brookline, MA 02445-4642
Phone (617) 817-2070

Other identifiers 3

IdentifierTypeStateIssuer
30201347MedicaidNH
435405099MedicaidME
3200183MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000701 MA Practitioner - Pain ManagementPractitioner - Anesthesiology 0446223846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simon Faynzilberg MD PCGroup PAC ID 1850546078, 6 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160820MAMDAnesthesiology Physician
14220NHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Faynzilbergmd PC Current Accepting new patients
Simon Faynzilberg, MD, PC CurrentSince Jan 1, 2013 Accepting new patients
Mousam Valley Orthopaedics PA Past Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Anesthesiology Past Accepting new patients
The Medical Group Department of Goodall Hospital Past Accepting new patients
Merrimack Valley Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Merrimack Valley Anesthesia Anesthesiology Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

110 Winn St
Ste 104
Woburn, MA 01801

Interoperability endpoints

  • Direct secure messaging: sfaynzilberg448857@direct.bilh.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1417956418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WINTHROP RD # 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454642",
            "telephone_number": "617-817-2070",
            "fax_number": "781-457-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WINTHROP RD # 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454642",
            "telephone_number": "617-817-2070",
            "fax_number": "781-457-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYNZILBERG",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "160820",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NH",
            "license": "14220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201347",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435405099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3200183",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.