Individual provider Active NPI

Henning A Gaissert, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Boston, MA
National Provider Identifier
1437149028
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
60405 Issued in MA
Practice address
55 Fruit St
BLK 1570
Boston, MA 02114-2621
Phone
(617) 726-5341
Fax
(617) 726-7667
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 60405 MA Primary

Addresses

Primary practice location

55 Fruit St
BLK 1570
Boston, MA 02114-2621

Mailing address

PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 726-5341

Other identifiers 3

IdentifierTypeStateIssuer
J12053OtherMABCBS MA
724283OtherMATUFTS HEALTH PLAN
3085708MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040621000924 MA Practitioner - Thoracic SurgeryPractitioner - General Surgery 0345225744 Reassigns benefits to 3 organizations
I20110803000262 NH Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 0345225744 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jun 13, 2012 Accepting new patients
The General Hospital Corporation CurrentSince Oct 1, 2006 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2012 Accepting new patients
Wentworth Douglass Physician Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 13, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2012 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 11, 2001 Accepting new patients

Locations

55 Fruit St
#1570
Boston, MA 02114
Phone (617) 726-2806

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2503

801 Central Ave
Ste 1
Dover, NH 03820
Phone (603) 740-9713

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

10 Prospect St
Ste 401
Nashua, NH 03060
Phone (603) 577-3150

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1437149028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-726-5341",
            "fax_number": "617-726-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "BLK 1570",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-5341",
            "fax_number": "617-726-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAISSERT",
        "first_name": "HENNING",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "60405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J12053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "724283",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085708",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.