Active NPI
Mir Shuttari, MD
- Pulmonary Disease Physician
- Falmouth, MA
National Provider Identifier
1487607065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 52726
- Practice address
- 90 Ter Heun Dr
Falmouth, MA 02540-2533 - Phone
- (508) 548-8574
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 52726 | MA | Primary |
Addresses
Primary practice location
90 Ter Heun Dr
Falmouth, MA 02540-2533
Mailing address
PO Box 905
Falmouth, MA 02541
Phone (508) 548-8989
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052726 | Other | MA | TUFTS HEALTH |
| 23598 | Other | MA | HARVARD PILGRIM |
| 0105961 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090211000137 | MA | Practitioner - Pulmonary Disease | 0345305132 | Practice locations: Falmouth, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
90 Ter Heun Dr
Suite 300
Falmouth, MA 02540-2533
Phone (508) 548-8574
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.2 of 100
- Quality
- 89.91
- Improvement activities
- 40
- Cost
- 76.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falmouth Hospital Association Inc | Past | Accepting new patients | |
| Northeast Health Services, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1487607065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "02541",
"telephone_number": "508-548-8989",
"fax_number": "508-548-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 TER HEUN DR",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402533",
"telephone_number": "508-548-8574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUTTARI",
"first_name": "MIR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "52726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "052726",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "23598",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105961",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.