Individual provider Active NPI

Daniel N Driscoll, MD

  • Plastic and Reconstructive Surgery Physician
  • Newton Lower Falls, MA
National Provider Identifier
1013999523
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
152157 Issued in MA
Practice address
2000 Washington St Ste 444
Newton Lower Falls, MA 02462-1608
Phone
(617) 244-0990
Fax
(617) 969-4044
NPI assigned
Nov 18, 2005
Last updated
Dec 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 152157 MA
Plastic and Reconstructive Surgery Physician 2086S0122X 152157 MA Primary

Addresses

Primary practice location

2000 Washington St Ste 444
Newton Lower Falls, MA 02462-1608

Mailing address

2000 Washington St
Suite 444
Newton Lower Falls, MA 02462-1655
Phone (617) 244-0990

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
I20050725000183 MA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 2365479185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Warren Alpert Medical School of Brown University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgical Associates IncGroup PAC ID 0749341105, 2 clinicians
Pratt Surgical Associates IncGroup PAC ID 4486546082, 44 clinicians

Practice addresses (Care Compare)

2000 Washington St
Suite 444
Newton, MA 02462-1608
Phone (617) 244-0990

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152157MAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgical Associates Current Accepting new patients
The Shriners' Hospital for Children Current Accepting new patients
The Shriners' Hospital for Children Surgery CurrentSince Mar 18, 2020 Accepting new patients
General Hospital Corp Current Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 18, 2020 Accepting new patients
Pratt Surgical Associates Inc Surgery CurrentSince Jan 22, 1998 Accepting new patients
The Shriners' Hospital for Children Past Accepting new patients
Advanced Wound Recovery - Boston, LLC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

2000 Washington St
Ste 444
Newton Lower Falls, MA 02462
Phone (617) 244-0990

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

Interoperability endpoints

  • Direct secure messaging: ddriscoll29936@tuftsmedicine.direct-ci.com
  • Direct secure messaging: driscoll.daniel.nwh@direct.partners.masshiway.net

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1013999523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 444",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621655",
            "telephone_number": "617-244-0990",
            "fax_number": "617-969-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 444",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621608",
            "telephone_number": "617-244-0990",
            "fax_number": "617-969-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "DANIEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "152157",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "152157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Lower Falls, MA

Sources for this page

Verify at the official NPI Registry.