Active NPI
Audrius Zibaitis, M.D.
- Anesthesiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 213297
- Practice address
- 55 Fruit St
Massachusetts General Hospital, GRB 444
Boston, MA 02114 - Phone
- (617) 643-6754
- Fax
- (617) 643-4040
- NPI assigned
- May 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 213297 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Massachusetts General Hospital, GRB 444
Boston, MA 02114
Mailing address
55 Fruit St
Massachusetts General Hospital, GRB 444
Boston, MA 02114
Phone (617) 643-6754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200718S | Medicaid | MA |
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
- Anesthesiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213297 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Anesthesiology | Current | Accepting new patients |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
55 Fruit St
#444
Boston, MA 02114
Phone (617) 319-3940
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Interoperability endpoints
- zibaitis.audrius.mgh@direct.partners.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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- Anesthesiology Physician
- Boston, MA
- NPI 1831688555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1699723551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL, GRB 444",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-643-6754",
"fax_number": "617-643-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL, GRB 444",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-643-6754",
"fax_number": "617-643-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIBAITIS",
"first_name": "AUDRIUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "213297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200718S",
"state": "MA"
}
],
"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 Aug 24, 2009; 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.