Organization provider

ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC

Surgery Physician Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Medicare enrolled

ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1164039152, based in Revere, MA. The organization lists 2 taxonomy classifications, with Surgery Physician recorded as primary.

Getting there

The practice address on file is 204 PROCTOR AVE, Revere, MA 02151. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

204 PROCTOR AVE, Revere, MA 02151 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0840602579

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208600000X Surgery Physician primary
207PE0005X Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Undersea and Hyperbaric Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1164039152 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 24, 2020
Last updatedSep 24, 2020
StatusActive
Practice address 204 PROCTOR AVE
Revere, MA 02151
(877) 878-3289
Fax (877) 817-3227
Mailing address 222 N PACIFIC COAST HWY STE 2175
El Segundo, CA 90245
The last update on file is Sep 24, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1164039152 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 0 3 9 1 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 0 3 9 1 1

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164039152?
NPI 1164039152 is the National Provider Identifier assigned to ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC in Revere, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC?
The phone number on file with NPPES is (877) 878-3289, last updated Sep 24, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164039152 a valid number?
Yes. 1164039152 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.