Active NPI
Steve G Massaquoi, M.D., PH.D.
- Neurology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 56107
- Practice address
- 55 Fruit St
Department of Neurology
Boston, MA 02114-2621 - Phone
- (617) 726-2000
- NPI assigned
- May 31, 2006
- Last updated
- Apr 4, 2023
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 56107 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Department of Neurology
Boston, MA 02114-2621
Mailing address
49 Hill Rd
#49
Belmont, MA 02478-4304
Phone (617) 686-9126
Other practice location 1
41 Mall Rd
Burlington, MA 01805-2621
Phone (781) 744-8000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3194922 | Medicaid | MA | |
| M00148 | Other | MA | HARVARD PILGRIM HEALTHPLA |
| 158335 | Other | MA | TUFTS HEALTPLAN |
| J05646 | Other | MA | BLUE SHIELD |
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
- Neurology
- Education
- Harvard Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56107 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Winchester Physician Associates, Inc | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Community Physicians Associates, Inc. | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Community Physicians Associates, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Hallmark Health Medical Associates Inc | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Neurology | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
#8
Boston, MA 02114
Phone (617) 724-3914
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
46 Obery St
Ste 1
Plymouth, MA 02360
1093 N Main St
Randolph, MA 02368
Phone (781) 963-0676
425 Revere St
Revere, MA 02151
Phone (781) 286-1313
1021 Main St
Ste 106
Winchester, MA 01890
Phone (781) 665-0215
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
Interoperability endpoints
- smassaquoi195531@direct.bilh.masshiway.net
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Family Medicine Physician
- Milton, MA
- NPI 1538154869
-
- Family Medicine Physician
- Medford, MA
- NPI 1770563900
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Neurology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
-
- Orthopaedic Surgery Physician
- Milton, MA
- NPI 1477832780
-
dba BIDH-Plymouth Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1811934813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 HILL RD",
"address_2": "#49",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784304",
"telephone_number": "617-686-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "DEPARTMENT OF NEUROLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-2000"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018052621",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSAQUOI",
"first_name": "STEVE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "56107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3194922",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHPLA",
"identifier": "M00148",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTPLAN",
"identifier": "158335",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J05646",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Massachusetts Society for the Prevention of Cruelty to Children
- Massachusetts Society for the Prevention of Cruelty to Children
- Massachusetts Society for the Prevention of Cruelty to Children
- Fatima Massaee, DMD
- Massage Ink Elite
- Francesco Massari, M.D. ; PH.D.
- Anthony Francis Massaro, MD
- Nicolas Anthony Massaro, PA-C
- Elena Massarotti, MD
- Emily Nicole Masse, NONE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.