Ana Luiza Fontes de Azevedo Costa, M.D., PHD

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

1020205 Issued in MA

Practice address

10 Centennial Dr
Peabody, MA 01960-7938

Phone

(781) 216-3400

NPI assigned

Mar 3, 2020

Last updated

Jul 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Ophthalmology

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Childrens Hospital Ophthalmology Foundation IncGroup PAC ID 8729049150, 26 clinicians

Nashua Eye Associates PAGroup PAC ID 8628961216, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afontesdeazevedocosta120348@direct.phhs.org
• Direct secure messaging: anacosta@nashuaeye.direct.eyemdemr.com

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.

• Childrens Hospital Ophthalmology Foundation Inc

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1770679045

  Pediatric Ophthalmology and Strabismus Specialist

  Medicare reassignment Care Compare group NPD
• Nashua Eye Associates, P.a.

  • Ophthalmology Physician
  • Nashua, NH
  • NPI 1801891247

  Pediatric Ophthalmology and Strabismus Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1750915450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607938",
            "telephone_number": "781-216-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607938",
            "telephone_number": "781-216-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Coliseum Ave",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030633206",
            "country_code": "US",
            "telephone_number": "603-689-9304",
            "fax_number": "603-689-9304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTES DE AZEVEDO COSTA",
        "first_name": "ANA LUIZA",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MO",
            "license": "2022010573",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MA",
            "license": "1020205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Fitzgerald
• Maria Fitzpatrick, PT
• Flagship Smile, LLC
• Fleet Mental Health, LLC (Fleet Mental Health)
• Erycka E Florie, DO
• For Eyes Optical Company of PA
• Jennifer Lynn Forbes
• David Alan Forman, RPH
• Paul Frederick Forte, DDS
• Foster Street Dental, LLC

• Pediatric Ophthalmology and Strabismus Specialist Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.

Verify at the official NPI Registry.