Individual provider Active NPI

Anthony J Fraioli, M.D.

  • Ophthalmology Physician
  • Brookline, MA
National Provider Identifier
1619951878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41886 Issued in MA
Practice address
44 Washington St
Brookline, MA 02445-7130
Phone
(617) 232-9600
Fax
(617) 232-7002
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 41886 MA Primary

Addresses

Primary practice location

44 Washington St
Brookline, MA 02445-7130

Mailing address

44 Washington St
Brookline, MA 02445-7130
Phone (617) 232-9600

Other identifiers 1

IdentifierTypeStateIssuer
0153788MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000052 MA Practitioner - Ophthalmology 9638165319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Eye Physicians and Surgeons, P.C.Group PAC ID 0244393973, 6 clinicians

Practice addresses (Care Compare)

44 Washington St
Suite 103a
Brookline, MA 02445-7167
Phone (617) 232-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41886MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Eye Physicians & Surgeons, P.C. Ophthalmology CurrentSince Oct 1, 1980 Accepting new patients

Locations

44 Washington St
Brookline, MA 02445
Phone (617) 232-9600

44 Washington St
Ste 103
Brookline, MA 02445
Phone (617) 484-0900

44 Washington St
Ste 103A
Brookline, MA 02445
Phone (617) 232-9600

Interoperability endpoints

  • Direct secure messaging: anthony.fraioli.1@16489.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619951878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-232-9600",
            "fax_number": "617-232-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-232-9600",
            "fax_number": "617-232-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIOLI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "41886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153788",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.