NPIMap

Individual provider Active NPI

Roberto S. Amado, MD

  • Family Medicine Physician
  • Stoughton, MA
National Provider Identifier
1518498484
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65081 Issued in CT
Practice address
966 Park St Ste B6
Stoughton, MA 02072-3650
Phone
(508) 365-2041
NPI assigned
Mar 23, 2017
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 65081 CT Primary
Internal Medicine Physician 207R00000X 65081 CT

Addresses

Primary practice location

966 Park St Ste B6
Stoughton, MA 02072-3650

Mailing address

966 Park St Ste B6
Stoughton, MA 02072-3650
Phone (508) 365-2041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200622001413 CT Practitioner - Family Practice 4981978996 Reassigns benefits to 1 organization
I20200818002188 MA Practitioner - Family PracticePractitioner - HospitalistPractitioner - Internal Medicine 4981978996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

966 Park St
Suite B6
Stoughton, MA 02072-3650
Phone (508) 365-2041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65081CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital Current Accepting new patients
The William W Backus Hospital Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Nov 15, 2022 Accepting new patients
William W Backus Hospital CurrentSince Jun 1, 2020 Accepting new patients
Centered Primary Care, PLLC Family Medicine CurrentSince Jan 7, 2024 Accepting new patients
Coastal Medical Associates CurrentSince Jul 1, 2020 Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

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

966 Park St
Ste B6
Stoughton, MA 02072
Phone (508) 356-7011

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: roberto.amado.1@30622.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1518498484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 PARK ST STE B6",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "508-365-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST STE B6",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "508-365-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADO",
        "first_name": "ROBERTO",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "65081",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "65081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.