Individual provider Active NPI

Timothy J Lepore, MD

  • Family Medicine Physician
  • Nantucket, MA
National Provider Identifier
1720041023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12345 Issued in MA
Practice address
57 Prospect St
Nantucket, MA 02554-2799
Phone
(508) 228-9053
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12345 MA Primary

Addresses

Primary practice location

57 Prospect St
Nantucket, MA 02554-2799

Mailing address

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 228-9053

Other identifiers 1

IdentifierTypeStateIssuer
2049325MedicaidMA

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
I20050926001037 MA Practitioner - General SurgeryPractitioner - Family Practice 1850323114 Reassigns benefits to 3 organizations
Practice locations: Nantucket, MA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
Education
Harvard Medical School, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 228-4846

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Visiting Nurse Association of Cape Cod Hospice Hospice, Hyannis, MA, CCN 221554
  • Nantucket Cottage Hospital Hospital, Nantucket, MA, CCN 220177
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue58
Removal of skin lesions33
Removal of nail tissue11
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12345MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Physicians Organization Family Medicine CurrentSince Jan 18, 2022 Accepting new patients
Nantucket Dermatology, LLC CurrentSince Feb 16, 2022 Accepting new patients

Locations

4 Bartlett Rd
Nantucket, MA 02554
Phone (508) 325-4777

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

5 Federal St
Unit 1881
Nantucket, MA 02554

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEBBD
  • Direct secure messaging: timothy.lepore@tjlm.eclinicaldirectplus.com
  • Direct secure messaging: lepore.timothy.nch@direct.partners.masshiway.net

Organizations & group practices 3

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 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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720041023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PROSPECT ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542799",
            "telephone_number": "508-228-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PROSPECT ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542799",
            "telephone_number": "508-228-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2049325",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

Verify at the official NPI Registry.