Individual provider Active NPI

Achilles Athanassiou, M.D.

  • Maternal & Fetal Medicine Physician
  • Boston, MA
National Provider Identifier
1730159419
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
80677 Issued in MA
Practice address
330 Brookline Ave
Gryzmish 7TH Floor
Boston, MA 02215-5400
Phone
(617) 667-4836
Fax
(617) 667-2231
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 80677 MA Primary

Addresses

Primary practice location

330 Brookline Ave
Gryzmish 7TH Floor
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-4836

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
I20080826000548 MA Practitioner - Obstetrics/Gynecology 5294800249 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

141 Longwater Dr
Suite 201
Norwell, MA 02061-1683

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

5 Tarkiln Rd
Kingston, MA 02364-1250
Phone (781) 585-2200

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80677MAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Feb 11, 2014 Accepting new patients
Pratt OB/GYN Associates, Inc Maternal & Fetal Medicine CurrentSince Mar 1, 2015 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Feb 15, 2012 Accepting new patients
Coastal Medical Associates CurrentSince Nov 17, 2009 Accepting new patients
South Shore Hospital Inc. Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

1 Brookline Pl
Ste 301
Brookline, MA 02445
Phone (617) 264-0364

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

75 Washington St
Norwell, MA 02061

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

689 Bedford St
Whitman, MA 02382
Phone (781) 447-4001

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1730159419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-4836",
            "fax_number": "617-667-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "GRYZMISH 7TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-4836",
            "fax_number": "617-667-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANASSIOU",
        "first_name": "ACHILLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MA",
            "license": "80677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.