Active NPI
Paul Re, M.D.
- Orthopaedic Surgery Physician
- Concord, MA
National Provider Identifier
1851367858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 513223
- Practice address
- 54 Baker Avenue Ext
Suite 200
Concord, MA 01742-2137 - Phone
- (978) 369-5391
- Fax
- (978) 369-7661
- NPI assigned
- Feb 28, 2006
- Last updated
- Jun 27, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 513223 | MA | Primary |
Addresses
Primary practice location
54 Baker Avenue Ext
Suite 200
Concord, MA 01742-2137
Mailing address
54 Baker Avenue Ext
Suite 200
Concord, MA 01742-2137
Phone (978) 369-5391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200034530 | Other | MA | RAILROAD MEDICARE |
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
- Orthopedic Surgery
- Education
- Columbia University College of Physicians and Surgeons, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
54 Baker Ave Ext
Suite 200
Concord, MA 01742-2137
Phone (978) 369-5391
Hospital & facility affiliations
- Emerson Hospital Home Care Program
- Emerson Hospital -
- Umass Memorial Healthalliance Hospitals
- Heywood Hospital -
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 168 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 513223 | MA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Affiliates, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Emerson Hospital | Current | Accepting new patients | |
| Orthopedic Affiliates Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
54 Baker Avenue Ext
Ste 200
Concord, MA 01742
Phone (978) 369-5391
133 Littleton Rd
Ste 104
Westford, MA 01886
Phone (978) 369-2665
Interoperability endpoints
- re.paul.epho@direct.partners.masshiway.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Concord, MA
- NPI 1891861050
-
- General Acute Care Hospital
- Concord, MA
- NPI 1467587881
-
- Orthopaedic Surgery Physician
- Littleton, MA
- NPI 1326835083
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
dba Heywood Hospital
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1851367858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 BAKER AVENUE EXT",
"address_2": "SUITE 200",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422137",
"telephone_number": "978-369-5391",
"fax_number": "978-369-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 BAKER AVENUE EXT",
"address_2": "SUITE 200",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422137",
"telephone_number": "978-369-5391",
"fax_number": "978-369-7661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RE",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "513223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200034530",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.