Individual provider Active NPI

Anthony A Pikus, M.D.

  • Internal Medicine Physician
  • Beverly, MA
National Provider Identifier
1740364983
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74643 Issued in MA
Practice address
152 Conant Street
Lahey Beverly
Beverly, MA 01915-2511
Phone
(978) 927-1919
Fax
(978) 927-6102
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74643 MA Primary

Addresses

Primary practice location

152 Conant Street
Lahey Beverly
Beverly, MA 01915-2511

Mailing address

152 Conant Street
Lahey Beverly
Beverly, MA 01915-2511
Phone (978) 927-1919

Other identifiers 1

IdentifierTypeStateIssuer
110050273AMedicaidMA

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
I20050421001365 MA Practitioner - Internal Medicine 8729026547 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74643MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc Internal Medicine Current Accepting new patients
Lahey Clinic, Inc. Internal Medicine CurrentSince Jul 10, 1991 Accepting new patients

Locations

152 Conant St
Beverly, MA 01915
Phone (978) 927-1919

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

5 Federal St
Danvers, MA 01923
Phone (978) 750-0200

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

Organizations & group practices 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1740364983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CONANT STREET",
            "address_2": "LAHEY BEVERLY",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152511",
            "telephone_number": "978-927-1919",
            "fax_number": "978-927-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CONANT STREET",
            "address_2": "LAHEY BEVERLY",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152511",
            "telephone_number": "978-927-1919",
            "fax_number": "978-927-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKUS",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110050273A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.