Caily Chandler Irwin, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA6687 Issued in MA

Practice address

235 Cypress St Unit 201
Brookline, MA 02445-6776

Phone

(617) 383-6250

NPI assigned

Aug 28, 2018

Last updated

Mar 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2018

Medicare assignment

May accept Medicare assignment

Group practices

Precision Plastic and Hand Surgery LLCGroup PAC ID 1557580909, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Precision Plastic and Hand Surgery LLC

  • Multi-Specialty Clinic/Center
  • Golden, CO
  • NPI 1508287442
  Medicare reassignment Care Compare group
• Longwood Plastic Surgery, P.C.

  • Ambulatory Surgical Clinic/Center
  • Brookline, MA
  • NPI 1801047345
  NPD (past)
• Leela Mundra MD, PLLC

  • Plastic Surgery Physician
  • Denver, CO
  • NPI 1063218782

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1912488966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHA CAMBRIDGE HOSPITAL - SURGERY",
            "address_2": "1493 CAMBRIDGE STREET",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-665-2555",
            "fax_number": "617-665-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST UNIT 201",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456776",
            "telephone_number": "617-383-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Harrison Ave Fl 6",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021184001",
            "country_code": "US",
            "telephone_number": "617-414-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "CAILY",
        "middle_name": "CHANDLER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA6687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iveta Iontcheva-Barehmi, DMD, MS, DSC,
• Ipekci Psychotherapy Services LLC
• Irina Deresh DMD
• Jennifer Irvin, LICSW
• Keith Kim Irving, PH.D.
• Roberta S. Isberg, M.D.
• Luljeta Isedisha
• Edwin Ishoo, MD
• Raymond A Isidro Vega, M.D.,PH.D.
• Meryl Iskenderian

• Surgical Physician Assistant in Brookline, MA
• Providers in Brookline, MA by specialty
• Surgical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.