NPIMap

Individual provider Active NPI

Michael Richard Bivona, MD

  • Ophthalmology Physician
  • Taunton, MA
National Provider Identifier
1508363540
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1013689 Issued in MA
Practice address
2005 Bay St Ste 206
Taunton, MA 02780-1085
Phone
(508) 823-7473
NPI assigned
Apr 6, 2018
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1013689 MA Primary

Addresses

Primary practice location

2005 Bay St Ste 206
Taunton, MA 02780-1085

Mailing address

2005 Bay St Ste 206
Taunton, MA 02780-1085
Phone (508) 823-7473

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
I20230927001093 MA Practitioner - Ophthalmology 6406109818 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Eye Associates, Inc.Group PAC ID 4789571225, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

2005 Bay St
Suite 206
Taunton, MA 02780-1085
Phone (508) 823-7473

22 Christy Dr
Brockton, MA 02301-1839
Phone (508) 588-3060

236 Highland Ave
Somerville, MA 02143-1495
Phone (617) 591-6300

850 Harrison Ave
Boston, MA 02118-4001
Phone (617) 414-4020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013689MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston University Eye Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
North Suburban Eye Associates PC Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients
North Suburban Eye Associates LLC Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients

Locations

850 Harrison Ave
#3
Boston, MA 02118
Phone (617) 414-4020

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

22 Christy Dr
Ste 1
Brockton, MA 02301
Phone (508) 588-3060

511 W Grove St
Middleboro, MA 02346
Phone (508) 923-3427

2005 Bay St
Ste 206
Taunton, MA 02780
Phone (508) 822-2266

669 Main St
Wakefield, MA 01880
Phone (781) 245-5200

955 Main St
Winchester, MA 01890
Phone (781) 729-1900

Interoperability endpoints

  • Direct secure messaging: mbivona247240@direct.bmc.masshiway.net
  • Direct secure messaging: michael.bivonamd.p1@direct.northsuburbaneye.nextgenshare.com

Organizations & group practices 7

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 10

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1508363540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BAY ST STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-823-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BAY ST STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-823-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVONA",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1013689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.