REPASSY MEDICAL, LLC
NPI 1215235502
Exclusive Provider Organization in Natick, MA

NPI Status: Active since March 10, 2011

Contact Information

190 N MAIN ST
FIRST FLOOR
NATICK, MA
ZIP 01760
Phone: (508) 655-2555
Fax: (508) 655-2596

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Exclusive Provider Organization
Accepts Insurance
CLIA Number: 22D2079666
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 06-19-2026

About REPASSY MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for Repassy Medical, Llc, a provider established in Natick, Massachusetts operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1215235502 assigned on March 2011. The practitioner's primary taxonomy code is 302F00000X with license number 216066 (MA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Terry Amirto (Office Manager)

NPI: 1215235502
Provider Name: REPASSY MEDICAL, LLC
Entity Type: Organization
Location Address: 190 N MAIN ST FIRST FLOOR NATICK, MA 01760
Location Phone: (508) 655-2555
Location Fax: (508) 655-2596
Mailing Address: 190 N MAIN ST FIRST FLOOR NATICK, MA 01760
Mailing Phone: (508) 655-2555
Mailing Fax: (508) 655-2596
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-10-2011
Last Update Date: 02-20-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Exclusive Provider Organization
Taxonomy Code: 302F00000X
Type: Managed Care Organizations
License No.: 216066
License State: MA
Taxonomy Description: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: TERRY AMIRTO
Authorized Official Title: OFFICE MANAGER
Authorized Official Phone: (508) 655-2555

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
H72885	MEDICARE UPIN (02)	MA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 22D2079666
Facility Type: Physician Office
Certificate Effective Date: June 20, 2024
Certificate Expiration Date: June 19, 2026
Laboratory Director: MICHAEL MACFARLAND
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Repassy Medical, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	2	3	5	5	0	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	4	3	10	5	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 3 + 1 + 0 + 5 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1215235502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

TRISTA N REPASSY M.D.

Internal Medicine

190 N MAIN ST
FIRST FLOOR
NATICK, MA
ZIP 01760

(508) 655-2555

View Profile

SUBURBAN CARDIOLOGY AND INTERNAL MEDICINE PC

Internal Medicine