Individual provider Active NPI

Victoria A Mason, M.D.

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1790147114
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
295393 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2696
Phone
(617) 726-3936
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 295393 MA Primary
Emergency Medicine Physician 207P00000X 35.136536 OH

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

680 Centre St
Brockton, MA 02302-3308
Phone (150) 894-1700

Other practice location 1

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-8447

Other practice location 2

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Other identifiers 1

IdentifierTypeStateIssuer
0228947MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190612001589 OH Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 1052644747 Reassigns benefits to 3 organizations
I20230202000613 MA Practitioner - Emergency Medicine 1052644747 Reassigns benefits to 7 organizations
I20230313000512 TX Practitioner - Emergency Medicine 1052644747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oakland Univ, William Beaumont School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence General HospitalGroup PAC ID 5092725200, 124 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone 97868340002979

243 Charles St
Suite 1107
Boston, MA 02114-3002
Phone (617) 273-5699

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295393MAMDEmergency Medicine Physician
35.136536OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Martha's Vineyard Hospital, Inc. Emergency Medicine Current Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Lawrence General Hospital CurrentSince Sep 18, 2023 Accepting new patients
Maniilaq Association CurrentSince Nov 30, 2022 Accepting new patients
Lawrence General Hospital CurrentSince Sep 18, 2023 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince May 29, 2023 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Emergency Medicine CurrentSince Feb 26, 2024 Accepting new patients
Lawrence General Hospital Emergency Medicine Current Accepting new patients
Maniilaq Association CurrentSince Nov 30, 2022 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince May 29, 2023 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Massachusetts General Physicians Organization Inc Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
General Hospital Corp Current Accepting new patients
The General Hospital Corporation CurrentSince Mar 1, 2023 Accepting new patients
Maniilaq Association Current Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

8819 Commons Blvd
Ste 101
Twinsburg, OH 44087
Phone (330) 405-1500

Interoperability endpoints

  • Direct secure messaging: victoria.mason@direct.signature.masshiway.net
  • Direct secure messaging: mason.victoria.mgh@direct.partners.masshiway.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1790147114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "150-894-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-3936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-8447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "295393",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.136536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228947",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.