Mary Lisa McHam, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

77904 Issued in MA

Practice address

97 Libbey Industrial Pkwy Ste 100
East Weymouth, MA 02189-3110

Phone

(781) 331-3300

Fax

(781) 337-8356

NPI assigned

May 28, 2006

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

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

Ophthalmology

Education

Baylor College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Consultants of Boston IncGroup PAC ID 4789651498, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcham.mary.ocb@direct.partners.masshiway.net

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.

• Ophthalmic Consultants of Boston, Inc.

  dba Ophthalmic Consultants of Boston

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1932146594
  Medicare reassignment Care Compare group NPD
• Ophthalmic Consultants of Boston, Inc

  • Eyewear Supplier
  • East Weymouth, MA
  • NPI 1851966162

  Ophthalmology

  NPD
• Ophthalmic Consultants of Boston, Inc.

  dba Ophthalmic Consultants of Boston

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1730404328
  NPD
• South Shore Eye Care, P.C.

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1528103900
  NPD (past)
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  NPD (past)

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

• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1922055664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LIBBEY INDUSTRIAL PKWY STE 100",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893110",
            "telephone_number": "781-331-3300",
            "fax_number": "781-337-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LIBBEY INDUSTRIAL PKWY STE 100",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893110",
            "telephone_number": "781-331-3300",
            "fax_number": "781-337-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHAM",
        "first_name": "MARY LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "77904",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MA",
            "license": "77904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110053096A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J13871",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "McHam.Mary.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "97 Libbey Industrial Pkwy Ste 100",
            "city": "East Weymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021893110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard M Low, M.D.
• John T H Mandeville, M.D., PHD
• Masscare Medical Transport LLC
• Veena Thomas Mathew, MD, MPH
• Letitia Mazzaferro
• Shelley G McKee, M.D.
• Dale C Oates, M.D.
• Ophthalmic Consultants of Boston, Inc
• Richard a Zuppardi DDS PC
• Ramy Rizkalla, M.D.

• Ophthalmology Physician in East Weymouth, MA
• Providers in East Weymouth, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.