Individual provider Active NPI

Michael Doyle Mason, D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Brighton, MA
National Provider Identifier
1477581437
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
80434 Issued in MA
Practice address
20 Guest St
Suite 225
Brighton, MA 02135-2040
Phone
(617) 738-8642
Fax
(617) 491-2552
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 80434 MA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 80434 MA Primary

Addresses

Primary practice location

20 Guest St
Suite 225
Brighton, MA 02135-2040

Mailing address

20 Guest St
Suite 225
Brighton, MA 02135-2040
Phone (617) 738-8642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20170313001113 RI Practitioner - Orthopedic Surgery 3072575083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

Hospital & facility affiliations

  • South County Home Health Home health agency, Wakefield, RI, CCN 417023
  • Visiting Nurse Home and Hospice Home health agency, Middleton, RI, CCN 417000
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince May 1, 2017 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince May 1, 2017 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Nov 1, 2021 Accepting new patients
Boston Arthritis & Spinal Surgery, P.C. PastSince Jun 8, 2005 Accepting new patients

Locations

19 Friendship St
#G130
Newport, RI 02840
Phone (401) 845-4311

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

70 Kenyon Ave
Ste 100
Wakefield, RI 02879

200 Crossings Blvd
Ste 310
Warwick, RI 02886

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1477581437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GUEST ST",
            "address_2": "SUITE 225",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352040",
            "telephone_number": "617-738-8642",
            "fax_number": "617-491-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GUEST ST",
            "address_2": "SUITE 225",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352040",
            "telephone_number": "617-738-8642",
            "fax_number": "617-491-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MICHAEL",
        "middle_name": "DOYLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "80434",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "80434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.