NPIMap

Individual provider Active NPI

Peter Andrew Bourell, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Hyannis, MA
National Provider Identifier
1487975124
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
233978 Issued in MA
Practice address
27 Park St
Hyannis, MA 02601-5203
Phone
(508) 862-5050
Fax
(508) 862-7993
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233978 MA
Cardiovascular Disease Physician 207RC0000X 233978 MA
Clinical Cardiac Electrophysiology Physician 207RC0001X 233978 MA Primary

Addresses

Primary practice location

27 Park St
Hyannis, MA 02601-5203

Mailing address

Cape Cod Hospital
27 Park Street
Hyannis, MA 02601
Phone (508) 862-5050

Other practice location 1

25 Main St
Hyannis, MA 02601-3129
Phone (508) 778-1829

Other identifiers 1

IdentifierTypeStateIssuer
1487975124MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140221000334 MA Practitioner - Internal Medicine 4486884350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Falmouth Hospital 92 clinicians
Medical Affiliates of Cape Cod Inc 237 clinicians
Physicians of Cape Cod Hospital 330 clinicians

Practice addresses (Care Compare)

100 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 771-1800

184 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 457-4621

25 Main St
Hyannis, MA 02601-3129
Phone (508) 778-1829

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Nantucket Cottage Hospital Hospital, Nantucket, MA, CCN 220177

Merit-based Incentive Payment System (MIPS)

Final score
95.37 of 100Reported as group
Quality
83.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233978MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Physicians of Falmouth Hospital Internal Medicine CurrentSince May 25, 2023 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Cape Cod Hospital Inc Past Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

25 Main St
Hyannis, MA 02601
Phone (508) 540-0604

Interoperability endpoints

  • Direct secure messaging: pbourell18586@direct.umcsn.com

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 5

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1487975124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAPE COD HOSPITAL",
            "address_2": "27 PARK STREET",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-862-5050",
            "fax_number": "508-862-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015203",
            "telephone_number": "508-862-5050",
            "fax_number": "508-862-7993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Main St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026013129",
            "country_code": "US",
            "telephone_number": "508-778-1829",
            "fax_number": "508-778-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURELL",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "233978",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "233978",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "233978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487975124",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.