Robert Leo Sheridan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

74746 Issued in MA

Practice address

51 Blossom Street
Sbi Shriners Burn Institute
Boston, MA 02114

Phone

(617) 726-5633

Fax

(617) 367-8936

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sheridan.robert.mgh@direct.partners.masshiway.net

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.

• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573

  Surgery

  Medicare reassignment NPD
• The Shriners' Hospital for Children

  • Pediatric Orthopaedic Surgery Physician
  • Springfield, MA
  • NPI 1285078444
  Medicare reassignment NPD
• General Hospital Corp

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1508390014
  NPD
• The Shriners' Hospital for Children

  • Pediatric Surgery Physician
  • Boston, MA
  • NPI 1366886525
  NPD
• The Shriners' Hospital for Children

  • Rehabilitation Clinic/Center
  • Springfield, MA
  • NPI 1811611825
  NPD
• Gary S. Perlmutter, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1164589420
  NPD (past)
• John M. Siliski, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1013074384
  NPD (past)
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1831171297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-726-5633",
            "fax_number": "617-371-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BLOSSOM STREET",
            "address_2": "SBI SHRINERS BURN INSTITUTE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-5633",
            "fax_number": "617-367-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ROBERT",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "74746",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "74746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J11455",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "074746",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081389",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne L Sheridan, NP
• Emily Alyce Sheridan, CRNA
• Jenna Sheridan, PA-C
• Jennifer L Sheridan, PA-C
• Kara Jillian Sheridan, LMHC
• Robert S Sheridan
• Sehar Sheriff
• Rebecca L Sherlock, PNP
• Cynthia Ann Sherman, LMHC
• Debra L Sherman, MD

• Surgery Physician in Boston, MA
• Providers in Boston, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.