Active NPI
Michal Ursiny, MD
- Urology Physician
- Boston, MA
National Provider Identifier
1992186407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD24190
- Practice address
- Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114 - Phone
- (617) 726-2800
- NPI assigned
- Jun 11, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L-264241 | MA | |
| Urology Physician | 208800000X | 283315 | MA | |
| Urology Physician | 208800000X | MD24190 | ME | Primary |
Addresses
Primary practice location
Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114
Mailing address
21 Donald B Dean Dr Ste 1
South Portland, ME 04106-3234
Phone (207) 518-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210513002462 | ME | Practitioner - Urology | 8729394994 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Vermont College of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Fore River Urology LLC
Practice addresses (Care Compare)
21 Donald B Dean Dr
Suite 1
South Portland, ME 04106-3252
Phone (207) 518-6617
Hospital & facility affiliations
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Bridgton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-264241 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fore River Urology LLC | Urology | Current | Accepting new patients |
Locations
21 Donald B Dean Dr
#1
South Portland, ME 04106
Phone (207) 518-6617
Interoperability endpoints
- https://api.platform.athenahealth.com/7607/brand/1/csg/1/fhir/r4
- michal.ursiny.1@7607.direct.athenahealth.com
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 41
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": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1992186407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 DONALD B DEAN DR STE 1",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063234",
"telephone_number": "207-518-6600",
"fax_number": "207-541-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MASSACHUSETTS GENERAL HOSPITAL",
"address_2": "55 FRUIT ST.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URSINY",
"first_name": "MICHAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "L-264241",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "283315",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ME",
"license": "MD24190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.