Active NPI
Adam Basel Pissaris
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 284195
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 724-4068
- NPI assigned
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 284195 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
PO Box 24520
New York, NY 10087-3720
Phone (781) 744-8000
Other practice location 1
41 Mall Rd
Burlington, MA 01805-2621
Phone (781) 744-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284195 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Emergency Medicine | Current | Accepting new patients |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Emergency Medicine | Current | Accepting new patients |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Lawrence General Hospital | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Lawrence General Hospital | Emergency Medicine | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Interoperability endpoints
- apissaris122648@direct.challiance.masshiway.net
- pissaris.adam.mgh@direct.partners.masshiway.net
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
Emergency Medicine
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Emergency Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Allergy & Immunology Physician
- Lawrence, MA
- NPI 1881272102
-
- Federal Public Health Clinic/Center
- PT. Hope, AK
- NPI 1285901918
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1023564507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24520",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873720",
"telephone_number": "781-744-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-4068"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018052621",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PISSARIS",
"first_name": "ADAM",
"middle_name": "BASEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "284195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.