Active NPI
Bart Louis Main, MD
- Child & Adolescent Psychiatry Physician
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 238225
- Practice address
- 460 W Main St
Hyannis, MA 02601-3653 - Phone
- (508) 862-5504
- Fax
- (508) 790-3304
- NPI assigned
- Sep 16, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 24451 | MN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 238225 | MA | Primary |
Addresses
Primary practice location
460 W Main St
Hyannis, MA 02601-3653
Mailing address
460 W Main St
Hyannis, MA 02601-3653
Phone (508) 862-5504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366305100 | Medicaid | MN |
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
- Psychiatry
- Education
- Indiana University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 A N St
Suite 1 and 2ND Floor
Hyannis, MA 02601-3823
Phone (508) 862-0514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238225 | MA | MD | Child & Adolescent Psychiatry Physician |
| 24451 | MN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Hospital Inc | Current | Accepting new patients | |
| Northeast Health Services, LLC | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Current | Accepting new patients | |
| North Suffolk Community Services Inc. | Past | Accepting new patients | |
| Bhsi, LLC | Past | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Past | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032
259 North St
Ste 1
Hyannis, MA 02601
Phone (508) 862-0514
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- bmain14152@direct.capecodhealthcare.masshiway.net
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1770534927
-
- Clinic/Center
- East Boston, MA
- NPI 1740209881
-
- Clinical Psychologist
- North Saint Paul, MN
- NPI 1174635643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1689770604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013653",
"telephone_number": "508-862-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013653",
"telephone_number": "508-862-5504",
"fax_number": "508-790-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIN",
"first_name": "BART",
"middle_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "24451",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "238225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366305100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.