ALEX J VANNI M.D.
NPI 1326095712
Urology in Burlington, MA

Q: What is Alex Vanni's NPI number?

The NPI number for Alex Vanni is 1326095712. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Alex Vanni's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alex Vanni was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

41 MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-2511(781) 744-5429 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alex J Vanni M.d. NPPES

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

ALEX J VANNI M.D. (NPI 1326095712) is an individual urology provider in Burlington, Massachusetts, licensed in Massachusetts (227907) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1326095712

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameALEX J VANNICredential: M.D.

Location Address41 MALL RD., LAHEY CLINICBurlington, MA 01805-0001

Mailing Address41 Mall Rd., Lahey ClinicBurlington, MA 01805-0001 · (781) 744-2511 · Fax (781) 744-5429

Phone(781) 744-2511

Fax(781) 744-5429

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2004

Enumeration DateMay 30, 2006

Last NPPES UpdateFebruary 19, 2021

NPPES CertifiedFebruary 9, 2021

✔ NPI 1326095712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in MA · 227907✔ Licensed in WA · MD60133291

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.

41 MALL RD., Burlington, MA 01805

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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Other Identifiers 1

Medicaid110089622AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alex J Vanni 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 ID1557494499

PECOS Enrollment IDI20110914000212

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.

Areas of Expertise CMS Part B claims 14

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.

105 services92 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

60 services60 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

58 services55 patients

Injection procedure through bladder and urethra for x-ray imaging 51610

This procedure involves introducing a harmless dye via a small tube into your bladder. The dye helps to highlight the urinary system on an X-ray image. It's a safe, often painless process that aids in diagnosing urinary issues.

51 services50 patients

Review by radiologist of urinary bladder and urethra images with contrast 74450

This procedure involves a radiologist examining images of your urinary system, specifically the bladder and tube that carries urine out of the body. A contrast material is used to make these areas more visible on the images. It helps to identify any abnormalities or issues.

50 services49 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.

35 services35 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

27 services26 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.

23 services22 patients

Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 15240

A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.

17 services17 patients

Reconstruction of urethra in male 53410

Urethral reconstruction is a procedure to mend the tube that carries urine from your body. This tube may be damaged due to injury or illness. The aim is to restore normal urine flow and improve overall health.

17 services17 patients

Insertion of inflatable urethra or bladder neck sphincter 53445

The insertion of an inflatable urethra or bladder neck sphincter is a procedure aimed at improving bladder control. A small device is surgically placed to help regulate urine flow. The device can be manually controlled to ensure comfort and effectiveness.

14 services14 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

13 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220083

Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County

Emergency services

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

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.

91.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.87

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers29 claims2,382 services$1.56 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

9 suppliers53 claims12,510 services$6.06 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

2 suppliers15 claims48 services$6.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

JOSEPH E DUBIN

Internal Medicine

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-7000

ANDREA P SORCINI MD

Urology

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-2406

DR. JENNIFER COLES CHAPMAN M.D.

Emergency Medicine

41 MALL RD., LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805

Middlesex County (781) 744-8100

ANIKA PARAB M.D.

Emergency Medicine

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8100

STEPHANIE L LENZI DO

Internal Medicine (Hospice and Palliative Medicine)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-7000

DR. MICHELLE R MCSWEENEY DO

Radiology (Diagnostic Radiology)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8170

GISELA HELD MD

Psychiatry & Neurology (Neurology)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8170

SHAMS IFTIKHAR IQBAL MD

Radiology (Diagnostic Radiology)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8170

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 Alex Vanni's NPI number?

The NPI number for Alex Vanni is 1326095712. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Alex Vanni located?

Alex Vanni practices at 41 Mall Rd. Lahey Clinic, Burlington, MA 01805. The listed phone number is (781) 744-2511.

What is Alex Vanni's specialty?

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

Is Alex Vanni enrolled in Medicare?

Yes. Alex Vanni 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.

What insurance does Alex Vanni accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Alex Vanni 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 Alex Vanni affiliated with any hospitals?

According to CMS data, Alex Vanni is affiliated with Beth Israel Deaconess Hospital - Needham, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Alex Vanni was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.