Individual provider Active NPI

Nina Marie Farivari, M.D.

  • Ophthalmology Physician
  • Lexington, MA
National Provider Identifier
1730576604
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
289263 Issued in MA
Practice address
21 Worthen Rd
Lexington, MA 02421-4835
Phone
(781) 862-1620
NPI assigned
Apr 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD466472 PA
Ophthalmology Physician 207W00000X 289263 MA Primary
Ophthalmology Physician 207W00000X 1730576604 MA

Addresses

Primary practice location

21 Worthen Rd
Lexington, MA 02421-4835

Mailing address

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

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
I20210921003418 MA Practitioner - Ophthalmology 1658674783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians

Practice addresses (Care Compare)

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

300 Baker Ave
Suite 120
Concord, MA 01742-2131
Phone (781) 876-2020

534 Boston Post Rd
Suite 210
Sudbury, MA 01776-3508
Phone (781) 876-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1730576604MAMDOphthalmology Physician
289263MAMDOphthalmology Physician
MD466472PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Eye Associates - Bid Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Lexington Eye Associates, Inc Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Lexington Eye Associates, Inc. Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Emerson Hospital Current Accepting new patients

Locations

300 Baker Ave
Ste 210
Concord, MA 01742
Phone (978) 369-1310

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

534 Boston Post Rd
Sudbury, MA 01776
Phone (781) 876-2020

160 Littleton Rd
Ste 9
Westford, MA 01886
Phone (781) 876-2020

Interoperability endpoints

  • Direct secure messaging: farivari.nina.epho@direct.partners.masshiway.net

Organizations & group practices 4

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": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1730576604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WORTHEN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214835",
            "telephone_number": "781-862-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WORTHEN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214835",
            "telephone_number": "781-862-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIVARI",
        "first_name": "NINA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD466472",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "289263",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1730576604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.