Cristi A Desocio, M.D.
Individual provider Active NPI Family Medicine Physician · Pepperell, MA
NPI 1497040844 · NPPES record last updated Jul 26, 2017
Key facts
- NPI
- 1497040844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 261028 (MA)
- Practice address
- 68 Main St
Pepperell, MA 01463-1560 - Phone
- (978) 433-6317
- Fax
- (978) 433-0567
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Boston University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Foundation Medical Partners Inc
Practice addresses (Care Compare)
10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600
68 Main St
Pepperell, MA 01463-1560
Phone (978) 433-6317
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Southern NH Medical Center
- Emerson Hospital -
- Umass Memorial Healthalliance Hospitals
- Lowell General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141002000721 | NH | Practitioner - Family Practice | 0446488381 | Reassigns benefits to 1 organization |
| I20141118000248 | MA | Practitioner - Family Practice | 0446488381 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261028 | MA | MD | Family Medicine Physician |
| 16707 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Medical Partners Inc. | Current |
Accepting new patients | |
| Foundation Medical Partners Inc | Family Medicine | Current |
Accepting new patients |
Locations
68 Main St
Pepperell, MA 01463
Phone (978) 433-6317
10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16707 | NH | |
| Family Medicine Physician | 207Q00000X | 261028 | MA | Yes |
Addresses
Primary practice location
68 Main St
Pepperell, MA 01463-1560
Mailing address
PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900
Other providers in Pepperell, MA
- Robyn Anne Ciriello
- Clover Physical Therapy, LLC
- Melissa Corey
- Covered Bridge Counseling LLC
- Dayna Cruise
- Breanna Devine
- Susan Arleen Domine
- William George Farina
- Kaitlin E Fiore
- Foundation Medical Partners Inc.
All providers in Pepperell, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.