Active NPI
Robert Mesirow, DO
- Anesthesiology Physician
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 209473
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136760 | Medicaid | MA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209473 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Anesthesia Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| On Demand Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Icon Anesthesia Services of New England LLC | Anesthesiology | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.