NPIMap

Individual provider Active NPI

Mario Alexander Zacharatos, M.D.

  • Family Medicine Physician
  • West Yarmouth, MA
National Provider Identifier
1831359637
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
273629 Issued in MA
Practice address
349 Route 28 Ste a
West Yarmouth, MA 02673-4620
Phone
(508) 394-2017
NPI assigned
Jun 15, 2008
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 273629 MA Primary

Addresses

Primary practice location

349 Route 28 Ste a
West Yarmouth, MA 02673-4620

Mailing address

4950 Communication Ave Ste 100
Boca Raton, FL 33431-3308
Phone (561) 982-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529001212 MA Practitioner - Internal Medicine 7618023367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Value in Prevention of Massachusetts LLCGroup PAC ID 6406110774, 3 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

349 Route 28
Suite a
West Yarmouth, MA 02673-4620
Phone (508) 394-2017

860 Route 134
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273629MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Value in Prevention of Massachusetts, LLC Family Medicine CurrentSince Apr 3, 2018 Accepting new patients

Locations

4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300

257 Station Ave
South Yarmouth, MA 02664
Phone (508) 394-2017

349 Route 28
Ste A
West Yarmouth, MA 02673
Phone (508) 394-2017

Interoperability endpoints

  • Direct secure messaging: mario.zacharatos.1@17409.direct.athenahealth.com

Organizations & group practices 2

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 12

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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1831359637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313308",
            "telephone_number": "561-982-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 ROUTE 28 STE A",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026734620",
            "telephone_number": "508-394-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARATOS",
        "first_name": "MARIO",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-15",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "273629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.