Active NPI
Michel Lirette, MD
- Obstetrics & Gynecology Physician
- N Andover, MA
National Provider Identifier
1598727117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 76941
- Practice address
- 203 Turnpike Street
Suite 115
N Andover, MA 01845 - Phone
- (978) 681-4505
- Fax
- (978) 681-4507
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 76941 | MA | Primary |
Addresses
Primary practice location
203 Turnpike Street
Suite 115
N Andover, MA 01845
Mailing address
203 Turnpike Street
Suite 115
North Andover, MA 01845
Phone (978) 681-4505
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130002 | Other | HARVARD PILGRIM | |
| 3110541 | Other | MASS HEALTH | |
| J13903 | Other | MA | BLUE SHIELD |
| 730461 | Other | MA | TUFTS HEALTH PLAN |
| 043429157 | Other | TAX ID | |
| 2008823 | Other | AETNA US HEALTHCARE | |
| 9784802 | Medicaid | MA | |
| 981320 | Other | NETWORK HEALTH CARE | |
| 0017405 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 0100631Y0MA01 | Other | NH | BLUE SHIELD |
| 0700834 | Other | UNITED HEALTH CARE | |
| 730461 | Other | TUFTS | |
| M17018 | Other | MA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76941 | MA | MD | Speech-Language Pathologist |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- North Andover, MA
- NPI 1639373517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1598727117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 TURNPIKE STREET",
"address_2": "SUITE 115",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-681-4505",
"fax_number": "978-681-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 TURNPIKE STREET",
"address_2": "SUITE 115",
"city": "N ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-681-4505",
"fax_number": "978-681-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRETTE",
"first_name": "MICHEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "76941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "130002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "3110541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J13903",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "730461",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "043429157",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2008823",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9784802",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH CARE",
"identifier": "981320",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0017405",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0100631Y0MA01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0700834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "730461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "M17018",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.