Active NPI
John Photos, CRNA
- Certified Registered Nurse Anesthetist
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 137167
- Practice address
- 55 Fogg Rd
Weymouth, MA 02190-2455 - Phone
- (781) 624-8000
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 137167 | MA | Primary |
Addresses
Primary practice location
55 Fogg Rd
Weymouth, MA 02190-2455
Mailing address
67 Ralyn Rd
Cotuit, MA 02635-3047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220809001697 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0244612182 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth IsCoastal Medical Associates
Practice addresses (Care Compare)
101 Page St
New Bedford, MA 02740-3464
Phone (781) 983-9088
275 Sandwich St
Plymouth, MA 02360-2183
Phone (781) 983-9088
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
- Beth Israel Deaconess Hospital Plymouth
- South Shore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 88.12
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137167 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients |
Locations
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Organizations & group practices 8
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
MA
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
MA, Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
- Anatomic Pathology & Clinical Pathology Physician
- Milton, MA
- NPI 1336781301
-
- Neurology Physician
- Needham, MA
- NPI 1487162426
-
- Internal Medicine Physician
- Boston, MA
- NPI 1497151773
-
- Urology Physician
- Needham, MA
- NPI 1902316136
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1972176949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 RALYN RD",
"city": "COTUIT",
"state": "MA",
"postal_code": "026353047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FOGG RD",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021902455",
"telephone_number": "781-624-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHOTOS",
"first_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "137167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.