Northeast Surgery Center LLC – MOHS-Micrographic Surgery Physician, NPI 1467791665
MOHS-Micrographic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Northeast Surgery Center LLC
67 Union St Ste 302
Natick, MA 017607700
Phone: (508) 655-0525
Fax: (508) 647-0960
Type: Location
27 VILLAGE SQ
CHELMSFORD, MA 018242712
Phone: (978) 244-0060
Fax: (978) 244-2522
Type: Mailing
22 MILL ST
SUITE 304
ARLINGTON, MA 024764784
Phone: (781) 641-4900
Fax: (781) 641-4904
Type: Location
526 MAIN ST STE 302
ACTON, MA 017203301
Phone: (978) 371-7010
Fax: (978) 371-0522
Type: Mailing
22 MILL ST STE 304
ARLINGTON, MA 024764778
Phone: (781) 641-4900
Fax: (781) 641-4904
Type: Location
30 Lancaster St Ste 400
Boston, MA 021141704
Phone: (617) 722-4100
Fax: (617) 227-1134
Type: Location
67 Union St Ste 501
Natick, MA 017607700
Phone: (508) 655-0525
Fax: (508) 647-0960
Type: Location
27 Village Sq
Chelmsford, MA 018242712
Phone: (978) 244-0060
Fax: (978) 244-2522
Type: Location
154 E Central St Fl 3
Natick, MA 017603644
Phone: (781) 431-0060
Fax: (978) 244-2522
Type: Location
75 3rd Ave Fl 3
Waltham, MA 024517577
Phone: (781) 641-4900
Fax: (781) 373-9248
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: 2013-05-13
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 |
|---|---|---|---|---|
| O20130513000011 | O | Clinic/Group Practice | 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 01760)
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