Individual provider Active NPI

Sean Olbert, PA-C

  • Physician Assistant
  • Needham, MA
National Provider Identifier
1003380973
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6732 Issued in MA
Practice address
560 Hillside Ave
Needham, MA 02494-1232
Phone
(781) 444-4722
Fax
(781) 444-4721
NPI assigned
Jan 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6732 MA Primary

Addresses

Primary practice location

560 Hillside Ave
Needham, MA 02494-1232

Mailing address

560 Hillside Ave
Needham, MA 02494-1232
Phone (781) 444-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190325000869 MA Practitioner - Physician Assistant 7618217910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston ENT Associates PCGroup PAC ID 5395706923, 9 clinicians

Practice addresses (Care Compare)

560 Hillside Ave
Needham, MA 02494-1232
Phone (781) 444-4722

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA6732MAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: sean.olbert.1@12176.direct.athenahealth.com
  • Direct secure messaging: solbert253115@direct.bilh.masshiway.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1003380973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HILLSIDE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941232",
            "telephone_number": "781-444-4722",
            "fax_number": "781-444-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 HILLSIDE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941232",
            "telephone_number": "781-444-4722",
            "fax_number": "781-444-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLBERT",
        "first_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-14",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.