NPIMap

Individual provider Active NPI

Jose C Teixeira-Da-Silva Jr., MD

  • Nephrology Physician
  • Plymouth, MA
National Provider Identifier
1427108786
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
81850 Issued in MA
Practice address
47 Obery St Ste 1a
Plymouth, MA 02360-2230
Phone
(508) 747-4883
Fax
(087) 476-6615
NPI assigned
Jan 11, 2007
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 81850 MA Primary

Addresses

Primary practice location

47 Obery St Ste 1a
Plymouth, MA 02360-2230

Mailing address

47 Obery St Ste 1a
Plymouth, MA 02360-2230
Phone (508) 747-4883

Other practice location 1

90 Ter Heun Dr Ste 302
Falmouth, MA 02540-2533
Phone (508) 747-4883

Other identifiers 1

IdentifierTypeStateIssuer
110057582AMedicaidMA

Other names 1

  • Dr. Carlos Dasilva Professional name

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
I20060123000086 MA Practitioner - Nephrology 9931123585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Nephrology PCGroup PAC ID 2961469838, 5 clinicians

Practice addresses (Care Compare)

47 Obery St
Suite 1a
Plymouth, MA 02360-2230
Phone (508) 747-4883

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New England Nephrology Associates Nephrology CurrentSince Sep 11, 1996 Accepting new patients
South Shore Nephrology, P.C. Nephrology CurrentSince Sep 5, 2023 Accepting new patients
South Shore Nephrology, P.C. PastSince Sep 5, 2023 Accepting new patients
Boston Medical Center Past Accepting new patients
Evans Medical Foundation, Inc. Nephrology Past Accepting new patients

Locations

888 Commonwealth Ave
Boston, MA 02215
Phone (617) 739-3000

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

90 Ter Heun Dr
Ste 302
Falmouth, MA 02540
Phone (508) 495-7160

6 Main St
Ste 2
Hyannis, MA 02601
Phone (508) 747-4883

31 Pine St
Ste 204
Norfolk, MA 02056
Phone (617) 739-7100

47 Obery St
Ste 1A
Plymouth, MA 02360
Phone (508) 747-4883

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1427108786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OBERY ST STE 1A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602230",
            "telephone_number": "508-747-4883",
            "fax_number": "508-747-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OBERY ST STE 1A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602230",
            "telephone_number": "508-747-4883",
            "fax_number": "087-476-6615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Ter Heun Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "MA",
            "postal_code": "025402533",
            "country_code": "US",
            "telephone_number": "508-747-4883",
            "fax_number": "508-747-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEIXEIRA-DA-SILVA",
        "first_name": "JOSE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "81850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110057582A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "DASILVA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.