DR. MICHAEL ANDREW THRASIVOULOS (MD) – Psychiatry Physician, NPI 1144897919
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
Provider Addresses for DR. MICHAEL ANDREW THRASIVOULOS (MD)
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 021182690
Phone:
Type: Mailing
11 NEVINS ST STE 430
BRIGHTON, MA 021353514
Phone: (617) 789-2102
Fax: (617) 789-3477
Type: Location
180 TELFORD ST UNIT 609
BRIGHTON, MA 021350026
Phone: (774) 279-4497
Type: Mailing
736 CAMBRIDGE ST
BRIGHTON, MA 021352907
Phone: (617) 789-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250710003088 | I | Psychiatry | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02118)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Diagnostic Radiology | MA | |
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA | |
| Internal Medicine, Infectious Disease | MA | |
| Physician Assistant | MA | |
| Hospitalist, Internal Medicine | MA | |
| Pulmonary Disease, Infectious Disease | MA | |
| Pulmonary Disease, Critical Care (Intensivists) | MA | |
| Physician Assistant | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.