Ann M Bajart

Individual provider Active NPI Ophthalmology Physician · Boston, MA

NPI 1639150451 · NPPES record last updated Dec 20, 2021

Key facts

NPI
1639150451
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
35566 (MA)
Practice address
50 Staniford St
Suite 600
Boston, MA 02114-2517
Phone
(617) 367-4800
Fax
(617) 723-7028
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare Care Compare profile

Specialty
Ophthalmology
Education
Harvard Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Boston Inc (68 clinicians)

Practice addresses (Care Compare)

50 Staniford St
Suite 600
Boston, MA 02114-2539
Phone (617) 367-4800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

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

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050426000870 MA Practitioner - Ophthalmology 8820059629 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35566MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology Current
since Jun 1, 1991
Accepting new patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology Current Accepting new patients
Ophthalmic Consultants of Boston, Inc Ophthalmology Current
since Jun 1, 1991
Accepting new patients
The General Hospital Corporation Past Accepting new patients
Anesthesia Consultants of Massachusetts LLC Past
since Jan 1, 1992
Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

625 Mount Auburn St
Ste 100
Cambridge, MA 02138
Phone (617) 354-3130

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

Interoperability endpoints

  • Direct secure messaging: bajart.ann.ocb@direct.partners.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35566 MA Yes

Addresses

Primary practice location

50 Staniford St
Suite 600
Boston, MA 02114-2517

Mailing address

50 Staniford St
Suite 600
Boston, MA 02114-2517
Phone (617) 367-4800

Other identifiers

IdentifierTypeStateIssuer
035563OtherMATUFTS HEALTH PLAN
2054167MedicaidMA
M08505OtherMABCBS MA
110037276AMedicaidMA

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Bajart.Ann.OCB@direct.partners.masshiway.net Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2021.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1639150451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-367-4800",
            "fax_number": "617-723-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-367-4800",
            "fax_number": "617-723-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJART",
        "first_name": "ANN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "35566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "035563",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054167",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M08505",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110037276A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bajart.Ann.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "50 Staniford St",
            "address_2": "Suite 600",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021142517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

All providers in Boston, MA · Ophthalmology Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.