Active NPI
Anastasia H Koniaris, M.D.
- Obstetrics & Gynecology Physician
- Salem, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 206727
- Practice address
- 80 Highland Ave
North Shore Physicians Group Inc
Salem, MA 01970 - Phone
- (978) 739-6950
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 206727 | MA | Primary |
Addresses
Primary practice location
80 Highland Ave
North Shore Physicians Group Inc
Salem, MA 01970
Mailing address
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090625000086 | MA | Practitioner - Obstetrics/Gynecology | 3971654385 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Stanford University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mass General Brigham Medical Group Northern Massachusetts Inc
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
Hospital & facility affiliations
- North Shore Medical Center -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206727 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| North Shore Medical Center, Inc. | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
383 Paradise Rd
Swampscott, MA 01907
Phone (781) 599-1745
Interoperability endpoints
- koniaris.anastasia.nsmc@direct.partners.masshiway.net
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
MA, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1518908136
MA, Obstetrics & Gynecology
-
- Clinical Medical Laboratory
- Haverhill, MA
- NPI 1033066972
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1457576803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HUTCHINSON DR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233748",
"telephone_number": "978-739-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HIGHLAND AVE",
"address_2": "NORTH SHORE PHYSICIANS GROUP INC",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-739-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONIARIS",
"first_name": "ANASTASIA",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "206727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.