Individual provider Active NPI

Martin Lesser, D.O.

  • Adult Medicine Physician
  • Holyoke, MA
National Provider Identifier
1790779908
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
75865 Issued in MA
Practice address
1236 Main St
Suite 201
Holyoke, MA 01040-5370
Phone
(413) 536-7040
Fax
(413) 536-7254
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 75865 MA Primary

Addresses

Primary practice location

1236 Main St
Suite 201
Holyoke, MA 01040-5370

Mailing address

1236 Main St
Suite 201
Holyoke, MA 01040-5370
Phone (413) 536-7040

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
I20050504000082 MA Practitioner - Family Practice 2163462730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Health Management IncGroup PAC ID 7315934148, 2 clinicians

Practice addresses (Care Compare)

80 Congress St
Suite 101
Springfield, MA 01104-3427
Phone (413) 732-4002

Hospital & facility affiliations

  • Mont Marie Rehabilitation & Healthcare Center Nursing home, Holyoke, MA, CCN 225556

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Management Inc. CurrentSince Feb 10, 2018 Accepting new patients
CMC Occupational Health Services, PC Past Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

80 Congress St
Ste 101
Springfield, MA 01104
Phone (413) 732-4002

Organizations & group practices 5

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 1

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1790779908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST",
            "address_2": "SUITE 201",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405370",
            "telephone_number": "413-536-7040",
            "fax_number": "413-536-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST",
            "address_2": "SUITE 201",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405370",
            "telephone_number": "413-536-7040",
            "fax_number": "413-536-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSER",
        "first_name": "MARTIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "75865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.