Individual provider Active NPI

Renee Aversano, MD

  • Internal Medicine Physician
  • Braintree, MA
National Provider Identifier
1962402255
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77961 Issued in MA
Practice address
10 Forbes Rd Ste 190
Braintree, MA 02184-2622
Phone
(781) 884-6300
Fax
(781) 884-6305
NPI assigned
Jul 28, 2005
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77961 MA Primary

Addresses

Primary practice location

10 Forbes Rd Ste 190
Braintree, MA 02184-2622

Mailing address

521 Mount Auburn St
Ste 200
Watertown, MA 02472-4191
Phone (617) 923-6071

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040803000800 MA Practitioner - Internal Medicine 5395716401 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700

36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Steward Medical Group, Inc Internal Medicine CurrentSince Feb 28, 2022 Accepting new patients
Compass Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 24, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 24, 2019 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Compass Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Mount Auburn Professional Services Inc Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
Mt Auburn Prof Services Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

10 Forbes Rd
Ste 190
Braintree, MA 02184
Phone (781) 300-7503

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

521 Mount Auburn St
Ste 202
Watertown, MA 02472
Phone (617) 926-9000

63 Pleasant St
Watertown, MA 02472
Phone (617) 303-0110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: raversanomd371290@direct.atrius.masshiway.net

Organizations & group practices 10

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1962402255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST",
            "address_2": "STE 200",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-923-6071",
            "fax_number": "617-923-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORBES RD STE 190",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842622",
            "telephone_number": "781-884-6300",
            "fax_number": "781-884-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERSANO",
        "first_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "77961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.