NPIMap

Individual provider Active NPI

Victor Carreras, PA-C

  • Medical Physician Assistant
  • Springfield, MA
National Provider Identifier
1730668013
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA6696 Issued in MA
Practice address
300 Birnie Ave Ste 102
Springfield, MA 01107-1375
Phone
(413) 785-5344
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA6696 MA Primary

Addresses

Primary practice location

300 Birnie Ave Ste 102
Springfield, MA 01107-1375

Mailing address

300 Birnie Ave Ste 102
Springfield, MA 01107-1375
Phone (413) 785-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180918002030 MA Practitioner - Physician Assistant 4082965892 Reassigns benefits to 1 organization
I20201028002751 CT Practitioner - Physician Assistant 4082965892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chestnut Medical Associates, IncGroup PAC ID 5698718245, 7 clinicians

Practice addresses (Care Compare)

300 Birnie Ave
Suite 102
Springfield, MA 01107-1121
Phone (413) 734-4206

Hospital & facility affiliations

  • Encompass Health Home Health Home health agency, Ludlow, MA, CCN 227611
  • Baystate Home Health Home health agency, W Springfield, MA, CCN 227011
  • Caretenders Home health agency, Holyoke, MA, CCN 227584
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA6696MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc PastSince Feb 17, 2015 Accepting new patients

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 10

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1730668013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 102",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071375",
            "telephone_number": "413-785-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 102",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071375",
            "telephone_number": "413-785-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS",
        "first_name": "VICTOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA6696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.