Active NPI
Marcelo Bogliolo P Siqueira, M.D.
- Orthopaedic Surgery Physician
- Plymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 286040
- Practice address
- 46 Obery St Ste 100
Plymouth, MA 02360-2237 - Phone
- (508) 210-5800
- Fax
- (508) 210-5860
- NPI assigned
- May 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 286040 | MA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 57025162 | OH |
Addresses
Primary practice location
46 Obery St Ste 100
Plymouth, MA 02360-2237
Mailing address
46 Obery St Ste 100
Plymouth, MA 02360-2237
Phone (508) 210-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000
3119 Cranberry Hwy
East Wareham, MA 02538-4840
Phone (508) 759-5411
46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920
860 Route 134
South Dennis, MA 02660-2577
Phone (508) 385-4212
Hospital & facility affiliations
- Bayada Home Health Care Inc
- Metrowest Homecare and Hospice, an Amedisys Company
- Vna of Cape Cod
- Centerwell Home Health
- Bayada Home Health Care , Inc
- Beth Israel Deaconess Hospital Plymouth
- Cape Cod Hospital
- Southcoast Hospitals Group
- Spaulding Rehabilitation Hospital - Cape Cod
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 90 |
| Knee replacement | 77 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Single Specialty | Current | Accepting new patients |
| Jordan Physician Associates, Inc. | Single Specialty | Current | Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Jordan Physician Associates, Inc. | Single Specialty | Current | Accepting new patients |
| Plymouth Bay Orthopedic Associates Inc. | Single Specialty | Current | Accepting new patients |
| Beth Israel Deaconess Hospital Plymouth, Inc. | Past | Accepting new patients |
Locations
95 Tremont St
Ste 1
Duxbury, MA 02332
Phone (781) 934-2400
8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
41 Resnik Rd
Plymouth, MA 02360
Phone (781) 934-2400
46 Obery St
Ste 100
Plymouth, MA 02360
Phone (508) 746-0284
290 Route 130
Sandwich, MA 02563
Phone (508) 833-2255
999 Route 73 N
Ste 401
Marlton, NJ 08053
327 Greentree Rd
Sewell, NJ 08080
Phone (856) 286-4224
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
Interoperability endpoints
- msiqueira253028@direct.bilh.masshiway.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
Single Specialty
-
- Orthopaedic Surgery Physician
- Duxbury, MA
- NPI 1548281488
Single Specialty
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
Single Specialty
-
- Rehabilitation Clinic/Center
- East Harwich, MA
- NPI 1629165634
-
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
Single Specialty
-
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Orthopaedic Surgery
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Dennis, MA
- NPI 1649258278
-
- Home Health Agency
- Wilmington, MA
- NPI 1285673194
-
- Home Health Agency
- Plymouth, MA
- NPI 1366481293
-
- Home Health Agency
- Hyannis, MA
- NPI 1770523292
-
- Home Health Agency
- South Easton, MA
- NPI 1811257694
-
- Home Health Agency
- Falmouth, MA
- NPI 1831138726
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- Home Health Agency
- Sandwich, MA
- NPI 1912934696
-
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1790164978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 OBERY ST STE 100",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602237",
"telephone_number": "508-210-5800",
"fax_number": "508-210-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 OBERY ST STE 100",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602237",
"telephone_number": "508-210-5800",
"fax_number": "508-210-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIQUEIRA",
"first_name": "MARCELO",
"middle_name": "BOGLIOLO P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-21",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "286040",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "57025162",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.