Individual provider Active NPI

John J Kadzielski, MD

  • Orthopaedic Hand Surgery Physician
  • Quincy, MA
National Provider Identifier
1053448498
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
239683 Issued in MA
Practice address
300 Congress St Ste 304
Quincy, MA 02169-0907
Phone
(617) 773-2200
Fax
(617) 773-2202
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 239683 MA Primary
Orthopaedic Surgery Physician 207X00000X L-228167 MA

Addresses

Primary practice location

300 Congress St Ste 304
Quincy, MA 02169-0907

Mailing address

300 Congress St Ste 304
Quincy, MA 02169-0907
Phone (617) 773-2200

Other identifiers 3

IdentifierTypeStateIssuer
110088698AMedicaidMA
1053448498OtherBLUE CROSS BLUE SHIELD
479451OtherTUFTS

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
I20110815000542 MA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4789853466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Kadzielski MD PLLCGroup PAC ID 6507361789, 3 clinicians

Practice addresses (Care Compare)

300 Congress St
Quincy, MA 02169-0907
Phone (617) 773-2200

43 George Washington Blvd
Hingham, MA 02043-1001
Phone (617) 773-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.46 of 100Reported as group
Quality
72.66
Promoting interoperability
92
Improvement activities
40
Cost
55.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L-228167MAMDOrthopaedic Surgery Physician
239683MAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Kadzielski MD PLLC Orthopaedic Surgery CurrentSince Aug 18, 2025 Accepting new patients
South Shore Orthopedics, LLC Orthopaedic Surgery CurrentSince Sep 1, 2012 Accepting new patients
South Shore Orthopedics LLC Orthopaedic Surgery CurrentSince Sep 1, 2012 Accepting new patients
South Shore Medical Center, Inc. Orthopaedic Surgery CurrentSince Mar 1, 2014 Accepting new patients

Locations

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

300 Congress St
Ste 304
Quincy, MA 02169
Phone (617) 773-2200

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Organizations & group practices 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1053448498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST STE 304",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-773-2200",
            "fax_number": "617-773-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST STE 304",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-773-2200",
            "fax_number": "617-773-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADZIELSKI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MA",
            "license": "239683",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "L-228167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088698A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1053448498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "479451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.