Individual provider Active NPI

Michael Ira Hass, D.P.M.

  • Foot Surgery Podiatrist
  • Chestnut Hill, MA
National Provider Identifier
1437173291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1681 Issued in MA
Practice address
1244 Boylston St
Suite 101
Chestnut Hill, MA 02467-2116
Phone
(617) 232-1752
Fax
(617) 566-3919
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1681 MA Primary

Addresses

Primary practice location

1244 Boylston St
Suite 101
Chestnut Hill, MA 02467-2116

Mailing address

1244 Boylston St
Suite 101
Chestnut Hill, MA 02467-2116
Phone (617) 232-1752

Other identifiers 1

IdentifierTypeStateIssuer
0360929MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1681MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jems Foot Care PLLC Current Accepting new patients

Locations

1244 Boylston St
Fl 101
Chestnut Hill, MA 02467
Phone (617) 232-1752

2000 Washington St
Ste 470
Newton Lower Falls, MA 02462
Phone (617) 630-1818

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437173291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 101",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-232-1752",
            "fax_number": "617-566-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 101",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-232-1752",
            "fax_number": "617-566-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASS",
        "first_name": "MICHAEL",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360929",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.