Individual provider Active NPI

Henrikas Vaitkevicius, M.D.

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1699953372
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
243530 Issued in MA
Practice address
1672 Washington St PH 2
Boston, MA 02118-3475
Phone
(313) 333-5508
NPI assigned
Feb 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 236649 MA
Neurology Physician 2084N0400X 4301503803 MI
Neurology Physician 2084N0400X C173186 CA
Neurology Physician 2084N0400X 036156364 IL
Neurology Physician 2084N0400X 25MA11317600 NJ
Neurology Physician 2084N0400X 75046-20 WI
Neurology Physician 2084N0400X 243530 MA Primary

Addresses

Primary practice location

1672 Washington St PH 2
Boston, MA 02118-3475

Mailing address

1672 Washington St PH 2
Boston, MA 02118-3475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130812000643 MA Practitioner - Neurology 8729246012 Reassigns benefits to 7 organizations
I20210211002404 MI Practitioner - Neurology 8729246012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

Wellfleet, MA 02667
Phone (800) 782-8581

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C173186CAMDNeurology Physician
036156364ILMDNeurology Physician
236649MAMDNeurology Physician
243530MAMDNeurology Physician
4301503803MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince May 1, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 1, 2023 Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Feb 10, 2021 Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Feb 10, 2021 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Nov 30, 2021 Accepting new patients
Brigham & Womens Physicians Organization Inc Neurology CurrentSince May 30, 2015 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Aug 20, 2022 Accepting new patients
Atlanticare Physician Group PA CurrentSince Nov 30, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince May 1, 2024 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Aug 20, 2022 Accepting new patients
Schuyler County Hospital District Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

55 Fruit St
#650
Boston, MA 02114
Phone (857) 238-5600

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1699953372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 WASHINGTON ST PH 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 WASHINGTON ST PH 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183475",
            "telephone_number": "313-333-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITKEVICIUS",
        "first_name": "HENRIKAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "236649",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301503803",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C173186",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036156364",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA11317600",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "75046-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "243530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.