NPIMap

Individual provider Active NPI

Mitsugu Ogawa, M.D.

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1902359680
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
275010 Issued in MA
Practice address
75 Francis Street
Boston, MA 02115
Phone
(617) 732-7678
NPI assigned
Jul 28, 2016
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MA
Surgery Physician 208600000X 275010 MA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 275010 MA

Addresses

Primary practice location

75 Francis Street
Boston, MA 02115

Mailing address

75 Francis Street
BWH, Department of Surgery
Boston, MA 02115
Phone (617) 732-6861

Other practice location 1

732 Harrison Ave Fl 3
Boston, MA 02118-2309
Phone (617) 638-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821002300 PA Practitioner - Thoracic Surgery 9234426271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S St
Suite 380
Greensburg, PA 15601-2775
Phone (724) 837-8959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275010MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Westmoreland Regional Hospital Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

44 S Washington Ave
Greensburg, PA 15601
Phone (724) 836-1862

44 S Washington Ave
Fl 2
Greensburg, PA 15601
Phone (724) 261-5556

530 South St
Ste 380
Greensburg, PA 15601
Phone (724) 261-5556

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Interoperability endpoints

  • Direct secure messaging: mitsuguogawa@emg.allscriptsdirect.net

Organizations & group practices 6

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1902359680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET",
            "address_2": "BWH, DEPARTMENT OF SURGERY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-6861",
            "fax_number": "617-264-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 Harrison Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182309",
            "country_code": "US",
            "telephone_number": "617-638-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGAWA",
        "first_name": "MITSUGU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "275010",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "275010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.