Individual provider Active NPI

Maida P. Antigua, M.D.

  • Ophthalmology Physician
  • Hingham, MA
National Provider Identifier
1477549061
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40534 Issued in MA
Practice address
160 Old Derby St Ste 451
Hingham, MA 02043-4062
Phone
(781) 980-1290
Fax
(781) 374-7207
NPI assigned
Sep 20, 2005
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 40534 MA Primary

Addresses

Primary practice location

160 Old Derby St Ste 451
Hingham, MA 02043-4062

Mailing address

160 Old Derby St Ste 451
Hingham, MA 02043-4062
Phone (781) 980-1290

Other identifiers 5

IdentifierTypeStateIssuer
040534OtherMATUFTS HEALTH PLAN
AA28536OtherMAHARVARD PILGRIM
449459OtherMAAETNA
4656599-002OtherMACIGNA
110037459AMedicaidMA

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
I20050622000872 MA Practitioner - Ophthalmology 0244275048 Practice locations: Hingham, MA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maida P Antigua Ophthalmology CurrentSince Sep 17, 2023 Accepting new patients
Chester Zarnoch Ophthalmology Past Accepting new patients

Locations

160 Old Derby St
Ste 451
Hingham, MA 02043
Phone (781) 749-5854

Interoperability endpoints

  • Direct secure messaging: drantigua@maidaantigua.imwdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1477549061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 OLD DERBY ST STE 451",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434062",
            "telephone_number": "781-980-1290",
            "fax_number": "781-374-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OLD DERBY ST STE 451",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434062",
            "telephone_number": "781-980-1290",
            "fax_number": "781-374-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTIGUA",
        "first_name": "MAIDA",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "40534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "040534",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA28536",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "449459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4656599-002",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110037459A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.