Active NPI
Kim Ciampa-Maggio, O.D.
- Optometrist
- Melrose, MA
National Provider Identifier
1851448369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MA 3960
- Practice address
- 490 Main St
Melrose, MA 02176-3841 - Phone
- (781) 665-0897
- Fax
- (781) 665-8828
- NPI assigned
- Jan 5, 2007
- Last updated
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | MA 3960 | MA | Primary |
Addresses
Primary practice location
490 Main St
Melrose, MA 02176-3841
Mailing address
33 Belmont PL
Melrose, MA 02176-1713
Phone (781) 665-5781
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W16162 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| 0712833 | Medicaid | MA | |
| 9376017 | Other | MA | CIGNA |
Other names 1
- Kim Ciampa
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
490 Main St
Melrose, MA 02176-3841
Phone (781) 665-0897
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 3960 | MA | MD | Optometrist |
Organizations & group practices 1
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.
-
- Optometrist
- Melrose, MA
- NPI 1528291424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1851448369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BELMONT PL",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761713",
"telephone_number": "781-665-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 MAIN ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763841",
"telephone_number": "781-665-0897",
"fax_number": "781-665-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIAMPA-MAGGIO",
"first_name": "KIM",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "MA 3960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "W16162",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0712833",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9376017",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "CIAMPA",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.