Active NPI
Andrew R Phenix, PA-C
- Medical Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA5570
- Practice address
- 75 Francis Street, PBB-B 428
Brigham and Women'S Hospital
Boston, MA 02115 - Phone
- (617) 732-5500
- NPI assigned
- Dec 8, 2015
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA5570 | MA | Primary |
Addresses
Primary practice location
75 Francis Street, PBB-B 428
Brigham and Women'S Hospital
Boston, MA 02115
Mailing address
237 State Rd
Dartmouth, MA 02747-2612
Phone (508) 979-5557
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
116 Belmont St
RM 26
Worcester, MA 01605-2964
Phone (508) 979-5557
226 -230 Field St
New Bedford, MA 02740-2133
Phone (508) 817-5129
226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557
237 State Rd
North Dartmouth, MA 02747-2612
Phone (508) 979-5557
67 Union St
Natick, MA 01760-7700
Phone (508) 817-5129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5570 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
75 Francis St
#428
Boston, MA 02115
Phone (617) 732-6794
Interoperability endpoints
- phenix.andrew.bwh@direct.partners.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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1649645201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 STATE RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027472612",
"telephone_number": "508-979-5557",
"fax_number": "508-979-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET, PBB-B 428",
"address_2": "BRIGHAM AND WOMEN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHENIX",
"first_name": "ANDREW",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-08",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA5570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.