Individual provider Active NPI

Miguel Martin Leiva Juarez, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Boston, MA
National Provider Identifier
1962924753
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
1022689 Issued in MA
Practice address
860 Washington St
Boston, MA 02111-1521
Phone
(617) 636-5589
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 1022689 MA Primary

Addresses

Primary practice location

860 Washington St
Boston, MA 02111-1521

Mailing address

860 Washington St
Boston, MA 02111-1521
Phone (617) 636-5589

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
I20250725001115 MA Practitioner - Thoracic SurgeryPractitioner - General Surgery 6507373537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pratt Surgical Associates IncGroup PAC ID 4486546082, 44 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Jan 14, 2026 Accepting new patients
Pratt Surgical Associates Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jan 14, 2026 Accepting new patients
LGH Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1
Boston, MA 02111

860 Washington St
Boston, MA 02111
Phone (617) 636-2273

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

208 Mill Rd
#F
Fairhaven, MA 02719

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

Interoperability endpoints

  • Direct secure messaging: mleivajuarez144221@tuftsmedicine.direct-ci.com
  • Direct secure messaging: mlievajuarez88875@direct.southcoast.org
  • Direct secure messaging: mleivajuarez253397@direct.bilh.masshiway.net

Organizations & group practices 6

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1962924753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111521",
            "telephone_number": "617-636-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111521",
            "telephone_number": "617-636-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA JUAREZ",
        "first_name": "MIGUEL",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "1022689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.