Individual provider Active NPI

Anita M Grassi, MD

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1831189513
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
71817 Issued in MA
Practice address
50 Staniford St
Suite 250
Boston, MA 02114-2517
Phone
(617) 724-6960
Fax
(617) 724-6970
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 71817 MA Primary

Addresses

Primary practice location

50 Staniford St
Suite 250
Boston, MA 02114-2517

Mailing address

PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 724-6960

Other identifiers 2

IdentifierTypeStateIssuer
715913OtherMATUFTS HEALTH PLAN
J09537OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060404000164 MA Practitioner - Dermatology 3072555143 Reassigns benefits to 2 organizations
I20211109001314 FL Practitioner - Dermatology 3072555143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Wellness Physicians LLCGroup PAC ID 7911125661, 9 clinicians

Practice addresses (Care Compare)

1300 Goodlette Rd N
Naples, FL 34102-5239
Phone (239) 732-0044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions466
Removal or shaving of skin growth1-10
Skin biopsy188

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Oct 20, 2011 Accepting new patients
Skin Wellness Physicians, LLC Dermatology CurrentSince Dec 1, 2021 Accepting new patients
Watertown Dermatology Associates, LLC Dermatology Current Accepting new patients
Massachusetts General Physicians Organization Inc Dermatology CurrentSince Mar 10, 1990 Accepting new patients

Locations

1300 Goodlette Rd
Naples, FL 34102
Phone (239) 732-0044

1300 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 732-0044

8625 Collier Blvd
Naples, FL 34114
Phone (239) 732-0044

8625 Collier Blvd
Unit 101
Naples, FL 34114
Phone (239) 732-0044

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

50 Staniford St
Ste 250
Boston, MA 02114
Phone (617) 724-6960

55 Fruit St
Boston, MA 02114

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: agrassi@apderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1831189513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-6960",
            "fax_number": "617-724-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 250",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-724-6960",
            "fax_number": "617-724-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSI",
        "first_name": "ANITA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "71817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "715913",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J09537",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.