NPIMap

Individual provider Active NPI

Ido Saul Preis, MD

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1477729473
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
242489 Issued in MA
Practice address
88 E Newton St
Boston, MA 02118-2308
Phone
(617) 638-8700
Fax
(617) 638-8756
NPI assigned
Apr 30, 2008
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242489 MA
Cardiovascular Disease Physician 207RC0000X 242489 MA Primary

Addresses

Primary practice location

88 E Newton St
Boston, MA 02118-2308

Mailing address

88 E Newton St
Boston, MA 02118-2308
Phone (617) 638-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826001597 NH Practitioner - Cardiovascular Disease (Cardiology) 9436289139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Warren Alpert Medical School of Brown University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900

25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 663-3740

40 Butrrick Rd
Londonderry, NH 03053-3381

445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 552-1670

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242489MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Catholic Medical Center CurrentSince Jul 1, 2014 Accepting new patients
HCA Health Services of New Hampshire, Inc. Cardiovascular Disease CurrentSince Dec 17, 2017 Accepting new patients
New England Molecular Imaging LLC CurrentSince Oct 25, 2021 Accepting new patients
Elliot Professional Services Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

1 Elliot Way
Ste 201
Manchester, NH 03103

4 Elliot Way
Ste 100
Manchester, NH 03103
Phone (603) 625-1655

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

4 Elliot Way
Unit 1
Manchester, NH 03103

4 Elliot Way
Manchester, NH 03103
Phone (603) 626-5113

Interoperability endpoints

  • Direct secure messaging: ipreis161760@direct.solutionhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1477729473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-8700",
            "fax_number": "617-638-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-8700",
            "fax_number": "617-638-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREIS",
        "first_name": "IDO",
        "middle_name": "SAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "242489",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "242489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.