Renee Aversano, MD
Individual provider Active NPI Internal Medicine Physician · Braintree, MA
NPI 1962402255 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1962402255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 77961 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 Inc
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
- Good Samaritan Medical Center
- South Shore Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040803000800 | MA | Practitioner - Internal Medicine | 5395716401 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Auburn Professional Services | Internal Medicine | Current |
Accepting new patients |
| Mount Auburn Professional Services Inc | Internal Medicine | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Atrius Health, Inc. | Internal Medicine | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Compass Medical PC | Current |
Accepting new patients | |
| Atrius Health, Inc. | Internal Medicine | Current |
Accepting new patients |
| Compass Medical PC | Current |
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) 213-1335
Interoperability endpoints
- raversanomd371290@direct.atrius.masshiway.net
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 77961 | MA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113817 | Medicaid | MA |
Other providers in Braintree, MA
- Aster Mental Health Inc
- Atlantic Nursing and Homecare, Inc
- Atrius Health, Inc.
- Atrius Health, Inc.
- Atrius Health, Inc. Dba Harvard Vanguard Medical Associates
- Mary E. Awad
- Awaken Mind Center LLC
- Az Psychiatry LLC
- B&D Unlimited LLC
- Andrea Bacon
All providers in Braintree, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.