Active NPI
Henry D Mitcheson, MD
- Urology Physician
- Watertown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 48820
- Practice address
- 521 Mount Auburn St Ste 201
Watertown, MA 02472-4153 - Phone
- (617) 926-1200
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 48820 | MA | Primary |
Addresses
Primary practice location
521 Mount Auburn St Ste 201
Watertown, MA 02472-4153
Mailing address
521 Mt. Auburn St., Suite 201
Watertown, MA 02472
Phone (617) 926-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177938 | Medicaid | MA |
Other names 1
- Dr. H David Mitcheson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050725000576 | MA | Practitioner - Urology | 9931136603 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
521 Mount Auburn St
Suite 201
Watertown, MA 02472-4153
Phone (617) 926-1200
Hospital & facility affiliations
- Mount Auburn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48820 | MA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward St. Elizabeth'S Medical Center of Boston, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward St. Elizabeth'S Medical Center of Boston, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Caritas St. Elizabeth'S Medical Center | Past | Accepting new patients |
Locations
11 Nevins St
Ste 506
Brighton, MA 02135
Phone (617) 782-1200
11 Nevins St
Ste 501
Brighton, MA 02135
Phone (617) 782-1200
11 Nevins St
Ste 503
Brighton, MA 02135
Phone (617) 782-1200
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
77 Warren St
Brighton, MA 02135
Phone (617) 254-1271
77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
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 and National Provider Directory roles.
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1992018782
-
- Specialist
- Brighton, MA
- NPI 1770574527
Hospital & facility affiliations 1
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": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1609878065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 MT. AUBURN ST., SUITE 201",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "02472",
"telephone_number": "617-926-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MOUNT AUBURN ST STE 201",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724153",
"telephone_number": "617-926-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHESON",
"first_name": "HENRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "48820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0177938",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "H",
"last_name": "MITCHESON",
"middle_name": "DAVID",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.