Individual provider Active NPI

Elias J Arous, M.D.

  • Vascular Surgery Physician
  • Worcester, MA
National Provider Identifier
1477537611
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
43803 Issued in MA
Practice address
55 Lake Ave N
Department of Vascular Surgery
Worcester, MA 01655-0002
Phone
(508) 334-6691
Fax
(508) 856-8329
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 43803 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Department of Vascular Surgery
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-0001
Phone (800) 225-8885

Other identifiers 1

IdentifierTypeStateIssuer
110039637BMedicaidMA

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
I20050322001039 MA Practitioner - Vascular Surgery 2769387380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians
Vascular Care Group LLCGroup PAC ID 2769871078, 25 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216

21 Eastern Ave
Floor 3
Worcester, MA 01605-3094
Phone (508) 556-0223

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Care Group LLC Vascular Surgery CurrentSince Jul 14, 2021 Accepting new patients
Saint Vincent Physician Services, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Stephen J. Hoenig, MD, PC Vascular Surgery CurrentSince Jun 15, 2021 Accepting new patients
Cardiology Consultants Central Ma Vascular Surgery Past Accepting new patients

Locations

85 Lincoln St
Ste T4002
Framingham, MA 01702
Phone (508) 250-0087

50 Memorial Dr
Ste 112
Leominster, MA 01453
Phone (978) 534-3179

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

21 Eastern Ave
Ste 3
Worcester, MA 01605
Phone (508) 556-0223

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

20 E Worcester St
Worcester, MA 01604
Phone (508) 363-6030

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

55 Lake Ave N
#G
Worcester, MA 01655
Phone (508) 856-3206

Organizations & group practices 4

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.

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1477537611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022410001",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "DEPARTMENT OF VASCULAR SURGERY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-6691",
            "fax_number": "508-856-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROUS",
        "first_name": "ELIAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "43803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110039637B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.