Individual provider Active NPI

Fabio Catao Alves Martins Da Silva, M.D.

  • Psychiatry Physician
  • Weston, WI
National Provider Identifier
1669815106
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
67048-20 Issued in WI
Practice address
4005 Community Center Dr
Weston, WI 54476-4139
Phone
(715) 241-5400
NPI assigned
Apr 15, 2013
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 67048-20 WI Primary

Addresses

Primary practice location

4005 Community Center Dr
Weston, WI 54476-4139

Mailing address

4005 Community Center Drive
Wausau, WI 54401-8246
Phone (715) 241-5400

Other practice location 1

625 19th St S
Birmingham, AL 35249-1900
Phone (205) 934-8664

Other names 1

  • Fabio Catao Professional name

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
I20250106001516 MA Practitioner - Psychiatry 7810138062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Behavioral Health CorporationGroup PAC ID 0446155808, 42 clinicians

Practice addresses (Care Compare)

800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6172
Phone (978) 921-1190

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67048-20WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Corporation CurrentSince Nov 30, 2024 Accepting new patients

Locations

800 Cummings Ctr
Ste 266T
Beverly, MA 01915

199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 524-7100

298 Washington St
Gloucester, MA 01930
Phone (978) 283-4000

12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128

Interoperability endpoints

  • Direct secure messaging: fcatao462091@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1669815106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 COMMUNITY CENTER DRIVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544018246",
            "telephone_number": "715-241-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 COMMUNITY CENTER DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764139",
            "telephone_number": "715-241-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491900",
            "country_code": "US",
            "telephone_number": "205-934-8664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATAO ALVES MARTINS DA SILVA",
        "first_name": "FABIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "67048-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABIO",
            "last_name": "CATAO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.