Active NPI
Roberto Cavalieros, MD
- Ophthalmology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 230343
- Practice address
- 135 Gold Star Blvd
Worcester, MA 01606-2738 - Phone
- (508) 856-9599
- Fax
- (508) 854-4998
- NPI assigned
- Aug 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 199885 | NY | |
| Ophthalmology Physician | 207W00000X | 230343 | MA | Primary |
Addresses
Primary practice location
135 Gold Star Blvd
Worcester, MA 01606-2738
Mailing address
135 Gold Star Blvd
Worcester, MA 01606-2738
Phone (508) 856-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110082749A | Medicaid | MA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Florida College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230343 | MA | MD | Ophthalmology Physician |
| 199885 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Ophthalmology | Current | Accepting new patients |
| Atrius Health, Inc. | Ophthalmology | Past | Accepting new patients |
| The New York Eye & Ear Infirmary Ophthalmology Associates, P.C. | Past | Accepting new patients |
Locations
77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
1 Lyons St
Dedham, MA 02026
Phone (781) 278-5511
Interoperability endpoints
- rcavalierosmd176400@direct.atrius.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Dedham, MA
- NPI 1306231519
-
- Specialist
- New York, NY
- NPI 1811931041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1649289133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 GOLD STAR BLVD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062738",
"telephone_number": "508-856-9599",
"fax_number": "508-854-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 GOLD STAR BLVD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062738",
"telephone_number": "508-856-9599",
"fax_number": "508-854-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALIEROS",
"first_name": "ROBERTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "199885",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "230343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110082749A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.