NPIMap

Individual provider Active NPI

David I Criss, MD

  • Cardiovascular Disease Physician
  • Melrose, MA
National Provider Identifier
1437135779
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
75982 Issued in MA
Practice address
50 Rowe St
Ste 500
Melrose, MA 02176-3228
Phone
(781) 979-3800
Fax
(781) 662-2778
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 75982 MA Primary

Addresses

Primary practice location

50 Rowe St
Ste 500
Melrose, MA 02176-3228

Mailing address

50 Rowe St
Ste 500
Melrose, MA 02176-3228
Phone (781) 979-3800

Other identifiers 3

IdentifierTypeStateIssuer
3154319MedicaidMA
J14087OtherMABC/BS
110122983OtherMARAILROAD MEDICARE

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
I20050610000119 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517900509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Melrose Internal Medicine Assoc PCGroup PAC ID 6901984897, 7 clinicians

Practice addresses (Care Compare)

50 Rowe St
Suite 500
Melrose, MA 02176-3201
Phone (781) 979-3800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Melrose Internal Medicine Assoc PC Cardiovascular Disease CurrentSince Apr 21, 1993 Accepting new patients
Cardiovascular Center at Tufts Medical Center, Inc. Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

50 Rowe St
Ste 500
Melrose, MA 02176
Phone (617) 662-7300

Organizations & group practices 2

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1437135779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROWE ST",
            "address_2": "STE 500",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763228",
            "telephone_number": "781-979-3800",
            "fax_number": "781-662-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROWE ST",
            "address_2": "STE 500",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763228",
            "telephone_number": "781-979-3800",
            "fax_number": "781-662-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISS",
        "first_name": "DAVID",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "75982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154319",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J14087",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110122983",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.