Individual provider Active NPI

Robert Mesirow, DO

  • Anesthesiology Physician
  • Hyannis, MA
National Provider Identifier
1801828942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
209473 Issued in MA
Practice address
27 Park St
Cape Cod Hospital, Anesthesia Dept
Hyannis, MA 02601
Phone
(508) 771-1800
Fax
(508) 790-1674
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 209473 MA Primary

Addresses

Primary practice location

27 Park St
Cape Cod Hospital, Anesthesia Dept
Hyannis, MA 02601

Mailing address

110 Main St
Unit B
Hyannis, MA 02601-3127
Phone (508) 775-5011

Other identifiers 1

IdentifierTypeStateIssuer
0136760MedicaidMA

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
I20041201000620 MA Practitioner - Anesthesiology 6901876010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Chicago College of Osteopathy, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Anesthesia LLCGroup PAC ID 0042675662, 20 clinicians

Practice addresses (Care Compare)

700 Attucks LN
Unit 1B
Hyannis, MA 02601-1813
Phone (781) 585-9522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209473MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Anesthesia Associates, Inc. Anesthesiology CurrentSince Apr 17, 2001 Accepting new patients
On Demand Anesthesia LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Icon Anesthesia Services of New England LLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Ashland Hospital Corporation Past Accepting new patients
Ashland Anesthesia, P.S.C. Anesthesiology Past Accepting new patients
Eastern Kentucky Anesthesiologist Associates, PLLC Anesthesiology Past Accepting new patients

Locations

110 Main St
Unit B
Hyannis, MA 02601
Phone 508771180022614

700 Attucks Ln
Unit 1B
Hyannis, MA 02601
Phone (508) 367-3557

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801828942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "UNIT B",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013127",
            "telephone_number": "508-775-5011",
            "fax_number": "508-775-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "address_2": "CAPE COD HOSPITAL, ANESTHESIA DEPT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-771-1800",
            "fax_number": "508-790-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIROW",
        "first_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "209473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136760",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.