Active NPI
Geetha K Athappilly, MD
- Neuro-ophthalmology Physician
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- 243574
- Practice address
- 41 Mall Road
Lahey Clinic Medical Center
Burlington, MA 01805 - Phone
- (781) 744-8555
- NPI assigned
- Jan 26, 2007
- Last updated
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 243574 | MA | |
| Ophthalmology Physician | 207W00000X | ME 104873 | FL | |
| Neuro-ophthalmology Physician | 207WX0109X | 243574 | MA | Primary |
Addresses
Primary practice location
41 Mall Road
Lahey Clinic Medical Center
Burlington, MA 01805
Mailing address
41 Mall Road
Lahey Clinic Medical Center
Burlington, MA 01805
Phone (781) 744-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110086297A | 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
- Ophthalmology
- Education
- Michigan State University College of Human Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 104873 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Ophthalmology | Current | Accepting new patients |
| University of Miami | Past | Accepting new patients | |
| Atrius Health, Inc. | Ophthalmology | Past | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
Interoperability endpoints
- gathappillyrolfemd348531@direct.atrius.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Burlington, MA
- NPI 1225183726
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
Ophthalmology
-
dba UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1346317039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1730235318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL ROAD",
"address_2": "LAHEY CLINIC MEDICAL CENTER",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "01805",
"telephone_number": "781-744-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL ROAD",
"address_2": "LAHEY CLINIC MEDICAL CENTER",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "01805",
"telephone_number": "781-744-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHAPPILLY",
"first_name": "GEETHA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "243574",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME 104873",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "MA",
"license": "243574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110086297A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.