Individual provider Active NPI

Robert J Rizzo, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynn, MA
National Provider Identifier
1881619641
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
71052 Issued in MA
Practice address
280 Union St Ste 4
Lynn, MA 01901-1355
Phone
(339) 203-4990
Fax
(224) 235-4652
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 71052 MA Primary

Addresses

Primary practice location

280 Union St Ste 4
Lynn, MA 01901-1355

Mailing address

PO Box 353
Northbrook, IL 60065-0353
Phone (847) 593-8460

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
I20050504000106 MA Practitioner - Cardiac Surgery 7416997093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Yale University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1208 B VFW Pkwy
Suite 300a
West Roxbury, MA 02132-4350
Phone (617) 391-6900

280 Union St
Suite 4
Lynn, MA 01901-1355
Phone (339) 203-4990

855 Worcester Rd
Suite 13
Framingham, MA 01701-5229
Phone (508) 744-3888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71052MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Framingham Vein Clinic, LLC CurrentSince Aug 30, 2017 Accepting new patients
USA Vascular Centers of Boston, LLC CurrentSince Jan 7, 2018 Accepting new patients
Lynn Vein Clinic, LLC CurrentSince Apr 15, 2014 Accepting new patients
Vein Clinics of Boston LLC CurrentSince Apr 15, 2014 Accepting new patients
USA Vein Clinics of Boston LLC PastSince Apr 15, 2014 Accepting new patients

Locations

855 Worcester Rd
Ste 13
Framingham, MA 01701
Phone (508) 744-3888

280 Union St
Ste 4
Lynn, MA 01901
Phone (339) 203-4990

1208B Vfw Pkwy
Ste 300
West Roxbury, MA 02132
Phone (617) 391-6900

1208B Vfw Pkwy
Ste 300A
West Roxbury, MA 02132
Phone (617) 391-6900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1881619641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650353",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 UNION ST STE 4",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011355",
            "telephone_number": "339-203-4990",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "71052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.