Individual provider Active NPI

David N Gottsegen, M.D.

  • Pediatrics Physician
  • Holyoke, MA
National Provider Identifier
1003884529
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
56208 Issued in MA
Practice address
150 Lower Westfield Rd
Ste1
Holyoke, MA 01040-2767
Phone
(413) 536-2393
Fax
(413) 536-1087
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 56208 MA Primary

Addresses

Primary practice location

150 Lower Westfield Rd
Ste1
Holyoke, MA 01040-2767

Mailing address

150 Lower Westfield Rd
Ste1
Holyoke, MA 01040-2767
Phone (413) 536-2393

Other identifiers 1

IdentifierTypeStateIssuer
3007537MedicaidMA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000037 MA Practitioner - Pediatric Medicine 9436106507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56208MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Pediatric Associates, LLP Pediatrics CurrentSince Jul 2, 1986 Accepting new patients

Locations

150 Lower Westfield Rd
Ste 1
Holyoke, MA 01040
Phone (413) 536-2393

150 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 536-2393

84 Willimansett St
South Hadley, MA 01075
Phone (413) 533-8501

Interoperability endpoints

  • Direct secure messaging: dgottsegen7849@direct.chppoc.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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1003884529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOWER WESTFIELD RD",
            "address_2": "STE1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402767",
            "telephone_number": "413-536-2393",
            "fax_number": "413-536-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOWER WESTFIELD RD",
            "address_2": "STE1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402767",
            "telephone_number": "413-536-2393",
            "fax_number": "413-536-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSEGEN",
        "first_name": "DAVID",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "56208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007537",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.