Individual provider Active NPI

Michael Anthony Loffredo, M.D.

  • Plastic Surgery Physician
  • Hyannis, MA
National Provider Identifier
1679653430
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
48731 Issued in WI
Practice address
26 Gleason St
Hyannis, MA 02601-5223
Phone
(508) 771-8967
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 48731 WI Primary

Addresses

Primary practice location

26 Gleason St
Hyannis, MA 02601-5223

Mailing address

26 Gleason St
Hyannis, MA 02601-5223
Phone (508) 771-8967

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
I20110728000452 MA Practitioner - Plastic and Reconstructive Surgery 3375737448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape and Islands Plastic Surgery PCGroup PAC ID 1254509755, 3 clinicians

Practice addresses (Care Compare)

26 Gleason St
Hyannis, MA 02601-5223
Phone (508) 771-8967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.71 of 100Reported as group
Quality
36.67
Improvement activities
0
Cost
66.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Melanoma (skin cancer) excision15
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48731WIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape and Islands Plastic Surgery PC Plastic Surgery CurrentSince Jul 18, 2011 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Past Accepting new patients

Locations

26 Gleason St
Hyannis, MA 02601
Phone (508) 771-4850

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1679653430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GLEASON ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015223",
            "telephone_number": "508-771-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GLEASON ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015223",
            "telephone_number": "508-771-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFFREDO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WI",
            "license": "48731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.