Individual provider Active NPI

Ludmila Epshteyn, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • South Weymouth, MA
National Provider Identifier
1962455485
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
59230 Issued in MA
Practice address
55 Fogg Rd
South Shore Hospital
South Weymouth, MA 02190-2432
Phone
(781) 340-8000
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 59230 MA Primary

Addresses

Primary practice location

55 Fogg Rd
South Shore Hospital
South Weymouth, MA 02190-2432

Mailing address

85 Columbian Street
Pathology Department
Weymouth, MA 02190-2416
Phone (781) 340-8397

Other identifiers 1

IdentifierTypeStateIssuer
3094618MedicaidMA

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
I20040123000531 MA Practitioner - Pathology 6507768181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro South Pathology, Inc.Group PAC ID 8527030972, 6 clinicians

Practice addresses (Care Compare)

85 Columbian St
Weymouth, MA 02190-2416
Phone 80092700021365

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59230MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro South Pathology, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 1991 Accepting new patients

Locations

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

85 Columbian St
Weymouth, MA 02190
Phone (781) 340-8397

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1962455485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 COLUMBIAN STREET",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902416",
            "telephone_number": "781-340-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "address_2": "SOUTH SHORE HOSPITAL",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902432",
            "telephone_number": "781-340-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSHTEYN",
        "first_name": "LUDMILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "59230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094618",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.