Ida M Minevich, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

213749 Issued in MA

Practice address

77 Warren St
Brighton, MA 02135

Phone

(617) 562-5250

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Home Health Care, Inc Home health agency, Needham, MA, CCN 227532
• Suburban Home Health Care, Inc Home health agency, Boston, MA, CCN 227290
• Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
• Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ida.minevich.1@32866.direct.athenahealth.com

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.

• BMC Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1245320910

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD
• Revere Medical of Massachusetts, PC

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1336976539

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD
• Steward St. Elizabeth'S Medical Center of Boston, Inc.

  • Specialist
  • Boston, MA
  • NPI 1174836852

  MA

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641

  Hospital

  Care Compare affiliation
• Boston Medical Center - Brighton Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1720814072

  Hospital

  Care Compare affiliation
• Central Home Health Care, Inc

  • Home Health Agency
  • Needham, MA
  • NPI 1881913424
  Care Compare affiliation
• Massachusetts Eye and Ear Infirmary

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1639101751

  Hospital

  Care Compare affiliation
• Suburban Home Health Care Inc

  • Home Health Agency
  • Boston, MA
  • NPI 1679573281
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1891780367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-562-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-562-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEVICH",
        "first_name": "IDA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "213749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Jeffrey Millman, PH.D.
• Vernon Lee Mills, LMHC, LADC 1
• Rachel Rinehart Mimbella, MD, MPH
• Joshua Min
• Ann Mindell, LICSW
• Rose Minichiello
• Yashwant Mirajkar, MD
• Stephanie Miranada
• Fariba Miryousefi, MD
• Mitchell D Simon PC

• Internal Medicine Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.

Verify at the official NPI Registry.