Michael E Jiser, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

157012 Issued in MA

Practice address

275 Varnum Ave Ste 203
Lowell, MA 01854-2109

Phone

(978) 458-4300

Fax

(978) 458-4311

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• LGH Medical Group, Inc.

  • Hospitalist Physician
  • Lowell, MA
  • NPI 1174698385
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Riverside Surgical Associates, PC

  • Surgery Physician
  • Lowell, MA
  • NPI 1538405378
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• LGH Professional Services LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1417485541
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1952386005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542109",
            "telephone_number": "978-458-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE STE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542109",
            "telephone_number": "978-458-4300",
            "fax_number": "978-458-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JISER",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "157012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3188329",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anil Jha, M.D
• Naomi Jiang, M.D.
• Christian Demetrius Jimenez
• Lyne Kyanna Jimenez
• Veronica Jimenez, NP-BC
• Carl Edouard JN Pierre, MD
• John C. Hughes, M.D.
• John Capino MD PC (Merrimack Eye Clinic)
• John Capino, MD PC
• John Capino,MDPC (Merrimack Eye Clinic)

• Surgery Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.