Amory De Roulet

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

291548 Issued in MA

Practice address

55 Fruit St
Boston, MA 02114-2696

Phone

(617) 726-2000

NPI assigned

Mar 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

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

Specialty

General SurgeryAlso: Critical Care (Intensivists)

Education

University of Southern California Keck School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VI Medical and Surgical Associates, LLCGroup PAC ID 9436688744, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Premier Health Care Services Home health agency, Charlotte Amalie, VI, CCN 487003
• Roy Lester Schneider Hospital,the Hospital, St Thomas, VI, CCN 480001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• VI Medical & Surgical Associates, LLC

  • Surgical Critical Care Physician
  • St Thomas, VI
  • NPI 1659187862

  Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• First Step Therapy

  • Rehabilitation Hospital
  • Frederiksted, VI
  • NPI 1285093906
  NPD (past)
• VI Government Hospital and Health Facilities Corp

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Premier Health Care Services, LLC

  • Home Health Agency
  • St. Thomas, VI
  • NPI 1386949980
  Care Compare affiliation
• VI Government Hospital and Health Facilities Corp

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047
  Care Compare affiliation

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1477085207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ROULET",
        "first_name": "AMORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "291548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphaella De Paula Ferreira, MD
• Carlie A De Pina, RN
• Neusa De Pina
• Jose Luis De Ramon III
• Roxane Charlotte Jacky De Rechniewski
• Michelle De Sedas, PSYD
• Wilfred De Shield- Lynch
• Disentuwahandi P De Silva, MBBS
• Edson De Sousa
• Luisa Maria De Souza, M.D

• Surgery Physician in Boston, MA
• Providers in Boston, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.

Verify at the official NPI Registry.