NPIMap

Individual provider Active NPI

Adam G Wychowski, M.D.

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1003806902
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223722 Issued in MA
Practice address
3640 Main St Ste 207
Springfield, MA 01107-1192
Phone
(413) 739-0669
Fax
(413) 739-0621
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 223722 MA
Internal Medicine Physician 207R00000X 223722 MA Primary

Addresses

Primary practice location

3640 Main St Ste 207
Springfield, MA 01107-1192

Mailing address

280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-3909

Other identifiers 4

IdentifierTypeStateIssuer
2105276MedicaidMA
470306OtherMATUFTS HEALTH PLAN
36483OtherMAHEALTH NEW ENGLAND
J28919OtherMABLUE CROSS BLUE SHIELD MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000834 MA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0143259242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Valley Medical Associates, PCGroup PAC ID 5092777300, 10 clinicians

Practice addresses (Care Compare)

3640 Main St
Springfield, MA 01107-1145
Phone (413) 739-0669

3640 Main St
Suite 207
Springfield, MA 01107-1192
Phone (413) 739-0669

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Encompass Health Home Health Home health agency, Ludlow, MA, CCN 227611
  • Baystate Home Health Home health agency, W Springfield, MA, CCN 227011
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
223722MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Associates, PC Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Feb 23, 2026 Accepting new patients
Novus Healthcare Group, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

3640 Main St
Springfield, MA 01107
Phone (413) 739-0669

3640 Main St
Ste 207
Springfield, MA 01107
Phone (413) 739-0669

Interoperability endpoints

  • Direct secure messaging: adam.wychowski.1@8899.direct.athenahealth.com

Organizations & group practices 3

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 11

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1003806902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-3909",
            "fax_number": "413-794-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 207",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071192",
            "telephone_number": "413-739-0669",
            "fax_number": "413-739-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHOWSKI",
        "first_name": "ADAM",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "223722",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105276",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "470306",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "36483",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "J28919",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.