Individual provider Active NPI

Vlassis Travias, M.D.

  • Obstetrics & Gynecology Physician
  • Concord, MA
National Provider Identifier
1992797195
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
210620 Issued in MA
Practice address
59 Ornac
Suite 1
Concord, MA 01742-3317
Phone
(978) 369-7627
Fax
(978) 371-2240
NPI assigned
Aug 16, 2005
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 210620 MA Primary

Addresses

Primary practice location

59 Ornac
Suite 1
Concord, MA 01742-3317

Mailing address

59 Ornac
Suite 1
Concord, MA 01742-3317
Phone (978) 369-7627

Other identifiers 1

IdentifierTypeStateIssuer
0158968MedicaidMA

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
I20090323000275 MA Practitioner - Obstetrics/Gynecology 6800954256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord OB/GYN Associates PCGroup PAC ID 0941278261, 5 clinicians

Practice addresses (Care Compare)

59 Old Rd to 9 Acre Cor
Suite 1
Concord, MA 01742-3317
Phone 9783710302217

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord OB/GYN Associates PC Obstetrics & Gynecology CurrentSince Jan 1, 2003 Accepting new patients
Emerson Hospital Current Accepting new patients
Emerson Hospital Past Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

59 Old Road To 9 Acre Cor
#1
Concord, MA 01742
Phone (978) 369-7627

59 Ornac
#1
Concord, MA 01742
Phone (978) 369-7627

Interoperability endpoints

  • Direct secure messaging: travias.vlassis.epho@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1992797195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ORNAC",
            "address_2": "SUITE 1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-369-7627",
            "fax_number": "978-371-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ORNAC",
            "address_2": "SUITE 1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-369-7627",
            "fax_number": "978-371-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIAS",
        "first_name": "VLASSIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "210620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158968",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.