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HUMBERTO A ROSSI M.D.
NPI 1245213347
Internal Medicine - Hematology & Oncology in Milford, MA

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
20 PROSPECT ST, MILFORD, MA 01757(508) 488-3700(508) 488-2016 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Humberto A Rossi M.d. NPPES

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

HUMBERTO A ROSSI M.D. (NPI 1245213347) is an individual hematology & oncology provider in Milford, Massachusetts, licensed in Massachusetts (208949) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1245213347
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameHUMBERTO A ROSSICredential: M.D.
Location Address20 PROSPECT STMilford, MA 01757-3026
Mailing Address20 Prospect StMilford, MA 01757-3026 · (508) 488-3700 · Fax (508) 488-2016
Phone(508) 488-3700
Fax(508) 488-2016
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1993
Enumeration DateNovember 22, 2005
Last NPPES UpdateApril 26, 2018
✔ NPI 1245213347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MA · 208949
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
20 PROSPECT ST, Milford, MA 01757
Open in Google Maps ↗

Secondary Practice Location 1

Location 1131 Ornac, John Cumming Bldg #200Concord, MA 01742 · Phone (978) 287-3436 · Fax (978) 287-3642

Other Identifiers 6

Other154597MA · Harvard Pilgrim
OtherJ23716MA · Blue Cross Blue Shield
Medicaid110003345AMA
Other2565207MA · Aetna Us Health
Other4704011MA · Cigna
Other453517MA · Tufts Health Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Humberto A Rossi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921991563
PECOS Enrollment IDI20040206000053
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Humberto Rossi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dana-Farber Cancer Institute, Inc.
26 mi
Special Hospital
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1851333686 (Massachusetts)
  • 531 clinicians in this Medicare group
NPI 1346433257 (617) 635-6904

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
611 services207 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
225 services168 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
89 services62 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
28 services28 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier18 claims1,004 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$19.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA KOSHY MD
Internal Medicine
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 488-3700
DR. DANIEL FEIN M.D.
Internal Medicine (Medical Oncology)
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 488-3700
MEAGHAN EMILY WHEELER PA-C
Physician Assistant
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 488-3700
VICTOR ZOTA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 473-1190
HANDE HAYIRLIOGLU TUNCER MD
Internal Medicine (Hematology & Oncology)
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 488-3700
EMILY JOYAL PA-C
Physician Assistant (Medical)
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (617) 308-1346
KAYLA TROCKMAN PA
Physician Assistant
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 488-3700
STACEY FRASCA COYLE P.A.
Physician Assistant (Medical)
20 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 488-3700

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 Humberto Rossi's NPI number?

The NPI number for Humberto Rossi is 1245213347. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Humberto Rossi located?

Humberto Rossi practices at 20 Prospect St, Milford, MA 01757. The listed phone number is (508) 488-3700.

What is Humberto Rossi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Humberto Rossi enrolled in Medicare?

Yes. Humberto Rossi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Humberto Rossi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Humberto Rossi reassigns Medicare benefits to Dana-Farber Cancer Institute, Inc. (Boston, MA). The 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 Humberto Rossi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Humberto Rossi accept?

Health plans from Taro Health list Humberto Rossi 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.

Is Humberto Rossi affiliated with any hospitals?

According to CMS data, Humberto Rossi is affiliated with Milford Regional Medical Center, Brigham And Women's Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Humberto Rossi was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.