SMG Anesthesia – Anesthesiology Physician, NPI 1043711914
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SMG Anesthesia
138 Haverhill St
Andover, MA 018101509
Phone: (978) 475-2880
Type: Location
70 East St
Methuen, MA 018444597
Phone: (978) 687-0156
Type: Location
88 Washington St
Taunton, MA 027802465
Phone: (508) 828-7000
Type: Location
US Family Health Plan at Brighton Marine, 77, Warren Street, Aberdeen, Allston, Boston, Suffolk County, Massachusetts, 02135, United States
BRIGHTON, MA 021353601
Phone: (617) 562-5628
Type: Mailing
Saint Anne's Hospital, 795, Middle Street, Fall River, Bristol County, Massachusetts, 02721, United States
FALL RIVER, MA 027211733
Phone: (508) 674-5600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2018-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (710 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20180329001196 | O | Clinic/Group Practice | MA | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 01810)
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