Active NPI
Simret B Tesfe, MD
- Internal Medicine Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 234827
- Practice address
- 110 Liberty Street
Brockton, MA 02301 - Phone
- (508) 894-0400
- Fax
- (508) 894-0412
- NPI assigned
- Jan 2, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 234827 | MA | Primary |
Addresses
Primary practice location
110 Liberty Street
Brockton, MA 02301
Mailing address
110 Liberty St
Brockton, MA 02301-5674
Phone (508) 894-0400
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081101000078 | MA | Practitioner - Internal Medicine | 8325107683 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Signature Healthcare Medical Group Inc
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Hospital & facility affiliations
- Brockton Vna
- Enhabit Home Health
- Signature Healthcare Brockton Hospital
- Beth Israel Deaconess Medical Center
- South Shore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 70.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Bridgewater Goddard Park Medical Associates, Inc. | Past | Accepting new patients |
Locations
110 Liberty St
Brockton, MA 02301
110 Liberty St
Ste 2B
Brockton, MA 02301
Phone (508) 588-6700
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
110 Liberty St
Ste 2A
Brockton, MA 02301
Phone (508) 894-0766
Interoperability endpoints
- simret.tesfe@direct.signature.masshiway.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Internal Medicine, MA
-
- Multi-Specialty Clinic/Center
- Brockton, MA
- NPI 1417932591
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
Hospital
-
- Home Health Agency
- Brockton, MA
- NPI 1043213275
-
- Home Health Agency
- Wilmington, MA
- NPI 1649351354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1881879591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015674",
"telephone_number": "508-894-0400",
"fax_number": "508-894-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-894-0400",
"fax_number": "508-894-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESFE",
"first_name": "SIMRET",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "234827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.