Nicholas Burstein, DO
Individual provider Active NPI Family Medicine Physician · Spencer, MA
NPI 1851978373 · NPPES record last updated Sep 2, 2024
Key facts
- NPI
- 1851978373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1020292 (MA)
- Practice address
- 369 Main St
Spencer, MA 01562-1900 - Phone
- (088) 855-3922
- Fax
- (508) 885-4883
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
369 Main St
Spencer, MA 01562-1900
Phone (508) 885-3922
Hospital & facility affiliations
- Care Central Vna & Hospice Inc
- Umass Memorial Medical Center/University Campus
- Umass Memorial Health - Harrington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240910001508 | MA | Practitioner - Family Practice | 3476956558 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020292 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Umass Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
151 Worcester Rd
Barre, MA 01005
Phone (978) 355-6321
369 Main St
Spencer, MA 01562
Phone (508) 885-0788
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1020292 | MA | Yes |
Addresses
Primary practice location
369 Main St
Spencer, MA 01562-1900
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other providers in Spencer, MA
- Hanya Harris Bluestone
- Talal J Bou-Harb
- Nicole Marie Boucher
- Robert Braley
- Sarah M Braley
- Care Health Systems
- Career Staff Unlimited
- Jennifer L Carlson
- Arni Bruno Vito Casareale
- Carrie Michele Cashman
All providers in Spencer, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.