Individual provider Active NPI

Kristina E Orio, D.O.

  • Emergency Medicine Physician
  • Waltham, MA
National Provider Identifier
1447234737
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
245622 Issued in MA
Practice address
1030 Main St
Waltham, MA 02451-7447
Phone
(781) 894-6900
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M8228 TX
Emergency Medicine Physician 207P00000X 245622 MA Primary

Addresses

Primary practice location

1030 Main St
Waltham, MA 02451-7447

Mailing address

1030 Main St
Waltham, MA 02451-7447
Phone (781) 894-6900

Other identifiers 3

IdentifierTypeStateIssuer
193682502MedicaidTX
193682503MedicaidTX
8AH274OtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000415 MA Practitioner - Emergency Medicine 9638132137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Urgent Care Professionals PCGroup PAC ID 8820248784, 41 clinicians

Practice addresses (Care Compare)

16 Main St
Stoneham, MA 02180-3334
Phone (781) 279-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245622MAMDEmergency Medicine Physician
M8228TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Urgent Care Professionals, PC CurrentSince Sep 18, 2013 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Sep 18, 2013 Accepting new patients
River City Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
South Shore Hospital Inc. Past Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine Past Accepting new patients
Patriot Urgent Care Professionals, PC PastSince Aug 14, 2012 Accepting new patients
San Antonio Epa, PA Emergency Medicine Past Accepting new patients
Patriot Urgent Care Professionals, PC PastSince Aug 14, 2012 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

90 Middlesex Tpke
Unit 5
Burlington, MA 01803
Phone (781) 894-6900

16 Main St
Stoneham, MA 02180
Phone (781) 279-4000

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1447234737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517447",
            "telephone_number": "781-894-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517447",
            "telephone_number": "781-894-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIO",
        "first_name": "KRISTINA",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M8228",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "245622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193682502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193682503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8AH274",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.