Individual provider Active NPI

Peter Michael Mowschenson, MD

  • Surgery Physician
  • Brookline, MA
National Provider Identifier
1871671040
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39121 Issued in MA
Practice address
1180 Beacon St
Brookline, MA 02446
Phone
(617) 735-8868
Fax
(617) 730-9845
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39121 MA Primary

Addresses

Primary practice location

1180 Beacon St
Brookline, MA 02446

Mailing address

1180 Beacon St
Brookline, MA 02446
Phone (617) 735-8868

Other identifiers 1

IdentifierTypeStateIssuer
2040921MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000377 MA Practitioner - General Surgery 6507980984 Practice locations: Brookline, MA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Harvard Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1180 Beacon St
Suite 6B
Brookline, MA 02446-3806
Phone (617) 735-8868

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39121MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Mowschenson MD Surgery PastSince Dec 31, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pmowschenson255235@direct.bilh.masshiway.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBFBA/Endpoint/ACBFBA
  • Direct secure messaging: peter.mowschenson@pm.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1871671040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-735-8868",
            "fax_number": "617-730-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-735-8868",
            "fax_number": "617-730-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWSCHENSON",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "39121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040921",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.