NORTHEAST UROLOGIC SURGERY, PC
NPI 1053361352
Urology in North Andover, MA

Active since May 10, 2006CLIA Certified · 2 labs
231 SUTTON ST, STE 1D, NORTH ANDOVER, MA 01845(978) 686-3877(978) 686-9586 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeast Urologic Surgery, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST UROLOGIC SURGERY, PC (NPI 1053361352) is a healthcare organization registered as an urology in North Andover, Massachusetts and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Steven Robert Previte, President, as its authorized official.

NPPES Registry Identity

NPI1053361352
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNORTHEAST UROLOGIC SURGERY, PC
Location Address231 SUTTON ST, STE 1DNorth Andover, MA 01845-1620
Mailing Address231 Sutton St, Ste 1dNorth Andover, MA 01845 · (978) 686-3877 · Fax (978) 686-9586
Fax(978) 686-9586
Organization SubpartNo
Authorized OfficialSteven Robert PrevitePresident · (978) 686-3877
Enumeration DateMay 10, 2006
Last NPPES UpdateMarch 15, 2013
✔ NPI 1053361352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
231 SUTTON ST, North Andover, MA 01845

Other Identifiers 4

Medicaid99904764NH
Medicaid9719911MA
Medicare PINRE6252NH
Medicare PINM12943MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Urologic Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew HampshireEnrollment IDO20040712000706Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Northeast Urologic Surgery, PC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Urology6
Pathology1

Clinicians, nearest first (13)

Urology
NPI 1093765992
231 SUTTON ST STE 1D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1134178890
231 SUTTON ST UNIT 1D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710676879
231 SUTTON ST STE 1D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1245280874
231 SUTTON ST UNIT 1D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851726970
231 SUTTON ST STE 1D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1932233616
231 SUTTON ST SUITE 1 D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1891079232
231 SUTTON ST STE 1D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619504453
231 SUTTON ST
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1689623431
231 SUTTON ST UNIT 1D
North Andover, MA 01845
(978) 686-3877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891243242
70 EAST ST
Methuen, MA 01844
(197) 868-7015
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1003210931
41 BELVEDERE RD
Boxford, MA 01921
(857) 225-0667
✔ PECOS✔ Accepts Medicare3.2 mi
Pathology
NPI 1114916731
41 HIGHLAND AVE WINCHESTER HOSPITAL
Winchester, MA 01890
(781) 756-2319
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1861808354
19 OLD ROLLINSFORD RD BLDG B
Dover, NH 03820
(603) 516-4265
✔ PECOS37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1083745

Northeast Urologic Surgery PC · Haverhill, MA
Active · expires May 8, 2028
CLIA Number22D1083745
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorChristopher P. Ip
Laboratory Phone(978) 686-3877
Laboratory LocationNortheast Urologic Surgery PC1 Parkway 4th Fl, Haverhill, MA 01830
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2133931

Northeast Urologic Surgery PC · North Andover, MA
Active · expires Jul 20, 2027
CLIA Number22D2133931
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorChristopher P. Ip
Laboratory Phone(978) 686-3877
Laboratory LocationNortheast Urologic Surgery PC565 Turnpike St Ste 86/87, North Andover, MA 01845
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 22D0664261

Northeast Urologic Surgery PC · North Andover, MA
Expired · Sep 30, 2026
CLIA Number22D0664261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorMay Azar
Laboratory Phone(978) 686-3877
Laboratory LocationNortheast Urologic Surgery PC231 Sutton Street, Suite 1 D, North Andover, MA 01845
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Urologic Surgery, PC's NPI number?

The NPI number for Northeast Urologic Surgery, PC is 1053361352. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Northeast Urologic Surgery, PC located?

Northeast Urologic Surgery, PC is located at 231 Sutton St Ste 1D, North Andover, MA 01845. The listed phone number is (978) 686-3877.

What is Northeast Urologic Surgery, PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Northeast Urologic Surgery, PC enrolled in Medicare?

Yes. Northeast Urologic Surgery, PC is registered in the Medicare PECOS enrollment system.

When is Northeast Urologic Surgery, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Hampshire, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northeast Urologic Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Northeast Urologic Surgery, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Urology (6) and Pathology (1). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeast Urologic Surgery, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northeast Urologic Surgery, PC accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care list Northeast Urologic Surgery, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Urologic Surgery, PC was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.