Active NPI
Mercedes J Szpunar, MD
- Psychiatry Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A137678
- Practice address
- 185 Cambridge St
Boston, MA 02114-2790 - Phone
- (617) 724-7792
- NPI assigned
- Jun 24, 2014
- Last updated
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A137678 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 283595 | MA |
Addresses
Primary practice location
185 Cambridge St
Boston, MA 02114-2790
Mailing address
5150 E Pacific Coast Hwy Ste 500
Long Beach, CA 90804-3328
Other practice location 1
15 Parkman St
Boston, MA 02114-3117
Phone (617) 726-2961
Other practice location 2
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Rochester School of Medicine and Dentistry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533
500 Superior Ave
Newport Beach, CA 92663-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137678 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | Accepting new patients | |
| Newport Harbor Radiology Associates Medical Group, Inc | Past | Accepting new patients |
Locations
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1053355792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1912312380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 E PACIFIC COAST HWY STE 500",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 CAMBRIDGE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142790",
"telephone_number": "617-724-7792"
}
],
"practiceLocations": [
{
"address_1": "15 Parkman St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021143117",
"country_code": "US",
"telephone_number": "617-726-2961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hoag Dr",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926634162",
"country_code": "US",
"telephone_number": "949-764-4624",
"fax_number": "949-764-7223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SZPUNAR",
"first_name": "MERCEDES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A137678",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "283595",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.