Theodore Arthur Calianos II, M.D.
Individual provider Active NPI Plastic Surgery Physician · Mashpee, MA
NPI 1528021813 · NPPES record last updated Jan 20, 2009
Key facts
- NPI
- 1528021813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 157231 (MA)
- Practice address
- 5 Industrial Dr
Suite 109
Mashpee, MA 02649-3464 - Phone
- (508) 539-6220
- NPI assigned
- Apr 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Texas Medical Branch at Galveston, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Affiliates of Cape Cod Inc
Practice addresses (Care Compare)
100 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 862-7874
1030 Falmouth Rd
Hyannis, MA 02601-2324
160 Falmouth Rd
Suite B
Mashpee, MA 02649-2652
Phone (508) 539-6220
2 Jan Sebastian Dr
Sandwich, MA 02563-2377
25 Edgerton Dr
C
North Falmouth, MA 02556-2821
Phone (508) 356-3000
27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800
33 Edgerton Dr
North Falmouth, MA 02556-2821
Phone (774) 552-3211
39 Edgerton Dr
North Falmouth, MA 02556-2821
Phone (508) 563-3923
5 Industrial Dr
Mashpee, MA 02649-3464
Phone (774) 552-3210
Hospital & facility affiliations
- Falmouth Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.23 of 100
- Quality
- 56.78
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
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
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Cape Cod Hospital |
Hospital | Corporate Director | Sep 8, 2020 |
| Falmouth Hospital Association |
Hospital | Corporate Director | Sep 8, 2020 |
| Vna of Cape Cod, Inc |
Home health agency | Corporate Director | Jan 1, 1998 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110426000192 | MA | Practitioner - Plastic and Reconstructive Surgery | 4284737891 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Affiliates of Cape Cod, Inc. | Current |
Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Current |
Accepting new patients | |
| Cape Cod Hospital Inc | Current | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
5 Industrial Dr
Ste 109
Mashpee, MA 02649
Phone (508) 539-6248
Interoperability endpoints
- tcalianos13991@direct.capecodhealthcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 157231 | MA | Yes |
Addresses
Primary practice location
5 Industrial Dr
Suite 109
Mashpee, MA 02649-3464
Mailing address
151 Whitmar Rd
Cotuit, MA 02635-2931
Phone (508) 428-3468
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J19118 | Other | MA | BC/BS |
| 13-00067 | Other | MA | UNITED HEALTH CARE |
| 21303 | Other | MA | HARVARD PILGRIM |
| 157231 | Other | MA | LICENSE |
| B20800901 | Other | MA | CIGNA HEALTH |
| 15231 | Other | MA | TUFTS |
| J1906 | Other | TX | MEDICAL LICENSE |
Other providers in Mashpee, MA
- Brican Homecare of Cape Cod LLC
- Pamela W Brighton
- Christina Broderick
- Kristy Kedian Brown
- Mariellen Burke
- Elizabeth L Callard
- Cape Cod Family Practice & Sports Medicine, P.C.
- Cape Cod Hand Surgery, PC
- Cape Cod Surgery Center, Inc.
- Cape Therapy Network, LLC
All providers in Mashpee, MA · Plastic Surgery 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 Jan 20, 2009. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.