Individual provider Active NPI

Paresh P Mane, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Andover, MA
National Provider Identifier
1811010903
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
254947 Issued in MA
Practice address
4 Inwood LN
Andover, MA 01810-6302
Phone
(857) 939-0475
NPI assigned
Apr 6, 2007
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 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
Surgery Physician 208600000X 285568 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 254947 MA Primary

Addresses

Primary practice location

4 Inwood LN
Andover, MA 01810-6302

Mailing address

4 Inwood LN
Andover, MA 01810-6302
Phone (857) 939-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, NH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20151229000413 MA Practitioner - Medical OncologyPractitioner - General SurgeryPractitioner - Thoracic Surgery 8224266242 Reassigns benefits to 2 organizations
I20160913001702 NY Practitioner - Thoracic Surgery 8224266242 Reassigns benefits to 2 organizations
I20231209000138 NH Practitioner - Thoracic Surgery 8224266242 Reassigns benefits to 2 organizations
I20231213000735 MA Practitioner - Thoracic Surgery 8224266242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 Main St
Salem, NH 03079-1988
Phone (978) 775-1428

4 Inwood LN
Andover, MA 01810-6302
Phone (857) 939-0475

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254947MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Nov 1, 2016 Accepting new patients
LGH Medical Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2018 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Merrimack Surgery PLLC Surgery CurrentSince Jan 1, 2025 Accepting new patients
Merrimack Thoracic and Esophageal Surgery PLLC Surgery CurrentSince Oct 30, 2023 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

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

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

319 S Manning Blvd
Ste 304
Albany, NY 12208
Phone (518) 525-5206

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2231 Burdett Ave
Ste 230
Troy, NY 12180
Phone (518) 271-5527

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDDDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDDDDD/Endpoint/EDDDDD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1811010903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 INWOOD LN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106302",
            "telephone_number": "857-939-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INWOOD LN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106302",
            "telephone_number": "857-939-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANE",
        "first_name": "PARESH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "285568",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "254947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.