Yuriy Andrusyshyn, MD

Key facts

NPI

1497988299

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

252033 (MA)

Practice address

88 Monvale Ave
Stoneham, MA 02180

Phone

(781) 662-6400

Fax

(781) 662-2965

NPI assigned

Aug 26, 2009

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Beth Israel Lahey Health Primary Care Inc Clinic/Center · Middleboro, MA · NPI 1568292423
  Medicare reassignment Care Compare group NPD MA
• Winchester Physician Associates, Inc Internal Medicine Physician · Winchester, MA · NPI 1184606865
  Medicare reassignment NPD FAMILY MEDICINE · MA
• Beth Israel Lahey Health Primary Care, Inc. Internal Medicine Physician · Beverly, MA · NPI 1508244195
  NPD
• Winchester Physician Associates Internal Medicine Physician · North Reading, MA · NPI 1215919931
  NPD (past)

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• All Care Visiting Nurse Association of Greater Lynn Inc. Home Health Agency · Lynn, MA · NPI 1386640597
  Care Compare affiliation Name & address match Home health agency
• Beth Israel Deaconess Medical Center, Inc. General Acute Care Hospital · Boston, MA · NPI 1548202641
  Care Compare affiliation Hospital
• Lahey Clinic Hospital, Inc. General Acute Care Hospital · Burlington, MA · NPI 1558392563
  Care Compare affiliation Hospital
• Melrosewakefield Healthcare, Inc. General Acute Care Hospital · Medford, MA · NPI 1841290467
  Care Compare affiliation Hospital
• Northeast Professional Registry of Nurses Inc Home Health Agency · Woburn, MA · NPI 1346257474
  Care Compare affiliation Home health agency
• Winchester Hospital General Acute Care Hospital · Winchester, MA · NPI 1790740777
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beth Israel Lahey Health Primary Care, Inc (351 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Lahey Health at Home Home health agency · Beverly, MA · CCN 227495
• All Care Vna-Greater Lynn Inc Home health agency · Lynn, MA · CCN 227263
• Winchester Hospital Hospital · Winchester, MA · CCN 220105
• Lahey Hospital & Medical Center, Burlington Hospital · Burlington, MA · CCN 220171
• Beth Israel Deaconess Medical Center Hospital · Boston, MA · CCN 220086
• Melrosewakefield Healthcare Hospital · Melrose, MA · CCN 220070

Merit-based Incentive Payment System (MIPS)

Final score

91.98 of 100 (apm)

Quality

76.59

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
• Direct secure messaging: yandrusyshyn31111@direct.bilh.masshiway.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2017.

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1497988299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MONVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-756-7273",
            "fax_number": "781-721-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-662-6400",
            "fax_number": "781-662-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUSYSHYN",
        "first_name": "YURIY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125056657",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "252033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Stoneham, MA · Family Medicine Physician in Massachusetts