NPIMap

Individual provider Active NPI

Alexei Shimanovsky, M.D.,

  • Medical Oncology Physician
  • Milford, MA
National Provider Identifier
1699054924
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
1015150 Issued in MA
Practice address
20 Prospect St
Milford, MA 01757-3042
Phone
(508) 448-3700
Fax
(508) 488-2016
NPI assigned
Aug 4, 2011
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD16121 RI
Hematology (Internal Medicine) Physician 207RH0000X 1015150 MA
Medical Oncology Physician 207RX0202X 1015150 MA Primary

Addresses

Primary practice location

20 Prospect St
Milford, MA 01757-3042

Mailing address

20 Prospect St
Milford, MA 01757-3042
Phone (508) 448-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613001591 MA Practitioner - Medical OncologyPractitioner - Hematology 8628371325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

22 Patriot PL
FL 2
Foxborough, MA 02035-1375
Phone 61763230003000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
65.04
Promoting interoperability
100
Improvement activities
40
Cost
69.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. Medical Oncology CurrentSince Jul 1, 2023 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

22 Patriot Pl
Fl 2
Foxborough, MA 02035
Phone (508) 543-1700

20 Prospect St
Milford, MA 01757
Phone (508) 478-2061

Interoperability endpoints

  • Direct secure messaging: shimanovsky.alexei.dfci@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1699054924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573042",
            "telephone_number": "508-448-3700",
            "fax_number": "508-488-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573042",
            "telephone_number": "508-448-3700",
            "fax_number": "508-488-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMANOVSKY",
        "first_name": "ALEXEI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD16121",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MA",
            "license": "1015150",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "1015150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.