Olga Desimone, MD
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Newburyport, MA
NPI 1821185463 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1821185463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- MD12689 (RI)
- Practice address
- 25 Highland Ave
Newburyport, MA 01950-3867 - Phone
- (978) 834-8074
- Fax
- (978) 834-8077
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091017000006 | MA | Practitioner - Pediatric Medicine | 2264591759 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Pediatric Associates, Inc | Current |
Accepting new patients | |
| Pratt Pediatric Associates Inc | Current |
Accepting new patients | |
| Anna Jaques Hospital | Past | Accepting new patients |
Locations
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
Interoperability endpoints
- odesimone252108@direct.bilh.masshiway.net
- odesimone16444@direct.southcoast.org
- odesimone84985@tuftsmedicine.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD12689 | RI | Yes |
Addresses
Primary practice location
25 Highland Ave
Newburyport, MA 01950-3867
Mailing address
24 Morrill PL
Amesbury, MA 01913-3530
Phone (978) 834-8074
Other providers in Newburyport, MA
- Patricia Joy Dell-Ross
- Romina Dellaria
- Margaret Mary Delorme
- Dental Partners of Newburyport
- Dental Partners of Newburyport, LLC
- Bronson Destadler
- Kathleen Destadler
- Bruce Edward Deveau
- Donna J Devlin
- Diane C Dubin
All providers in Newburyport, MA · Neonatal-Perinatal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.