Active NPI
Sasa Periskic, M.D.
- Interventional Pain Medicine Physician
- Melrose, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 203186
- Practice address
- 50 Rowe St Ste 100
Melrose, MA 02176-3231 - Phone
- (781) 662-7246
- NPI assigned
- May 30, 2005
- Last updated
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 203186 | MA | |
| Interventional Pain Medicine Physician | 208VP0014X | 203186 | MA | Primary |
Addresses
Primary practice location
50 Rowe St Ste 100
Melrose, MA 02176-3231
Mailing address
50 Rowe St Ste 100
Melrose, MA 02176-3231
Phone (781) 662-7246
Other practice location 1
50 Tremont St Ste 103
Boston Pain Specialist, P.C.
Melrose, MA 02176-2721
Phone (781) 662-7246
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Tremont St
Suite 103
Melrose, MA 02176-2721
Phone (781) 662-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Pain Specialist, PC | Pain Medicine | Current | Accepting new patients |
| Marion Surgical Associates, Inc | Past | Accepting new patients | |
| Hallmark Health System Inc | Past | Accepting new patients | |
| New England Pain Associates, P.C. | Pain Medicine | Past | Accepting new patients |
| Anesthetics of Massachusetts, PC | Pain Medicine | Past | Accepting new patients |
Locations
50 Rowe St
Ste 100
Melrose, MA 02176
Phone (781) 662-7246
50 Tremont St
Ste 103
Melrose, MA 02176
Phone (781) 662-7246
Interoperability endpoints
- speriskic28861@tuftsmedicine.direct-ci.com
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.
-
- Interventional Pain Medicine Physician
- Melrose, MA
- NPI 1598951543
-
- Certified Registered Nurse Anesthetist
- Melrose, MA
- NPI 1386695534
Pain Medicine
-
- Internal Medicine Physician
- Medford, MA
- NPI 1275673667
-
- Pain Medicine (Anesthesiology) Physician
- Worcester, MA
- NPI 1366576191
-
- Vascular Surgery Physician
- Fairmont, WV
- NPI 1073645826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1447253976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ROWE ST STE 100",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763231",
"telephone_number": "781-662-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ROWE ST STE 100",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763231",
"telephone_number": "781-662-7246"
}
],
"practiceLocations": [
{
"address_1": "50 Tremont St Ste 103",
"address_2": "Boston Pain Specialist, P.C.",
"address_purpose": "LOCATION",
"city": "Melrose",
"state": "MA",
"postal_code": "021762721",
"country_code": "US",
"telephone_number": "781-662-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERISKIC",
"first_name": "SASA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-30",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MA",
"license": "203186",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MA",
"license": "203186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.