NPIMap

Individual provider Active NPI

Peter Dewire, MD

  • Orthopaedic Surgery Physician
  • Quincy, MA
National Provider Identifier
1063400349
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
58417 Issued in MA
Practice address
54 Miller St
4TH Floor
Quincy, MA 02169-4725
Phone
(617) 376-2017
Fax
(617) 376-2043
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 58417 MA Primary

Addresses

Primary practice location

54 Miller St
4TH Floor
Quincy, MA 02169-4725

Mailing address

54 Miller St
4TH Floor
Quincy, MA 02169-4725
Phone (617) 376-2017

Other identifiers 2

IdentifierTypeStateIssuer
3070174MedicaidMA
058417OtherTUFTS

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
I20040122000680 MA Practitioner - Orthopedic Surgery 4587566369 Reassigns benefits to 2 organizations
Practice locations: Quincy, MA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Boston University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

825 Washington St
Suite 260
Norwood, MA 02062-3488
Phone (781) 769-6720

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58417MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists of Massachusetts LLC CurrentSince Nov 1, 2017 Accepting new patients
Pratt Orthopaedic Associates, Inc Orthopaedic Surgery CurrentSince Jul 1, 2015 Accepting new patients
Orthopaedic Specialists of Massachusetts, LLC Orthopaedic Surgery CurrentSince Nov 1, 2017 Accepting new patients
Boston University Family Medicine, Inc. Past Accepting new patients
Boston University Orthopaedic Surgical Associates, Inc. Orthopaedic Surgery Past Accepting new patients
Peter Dewire MD Orthopaedic Surgery PastSince Jul 29, 2015 Accepting new patients
Greater Boston Orthopaedic Associates Orthopaedic Surgery Past Accepting new patients

Locations

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

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

100 Highland St
Ste G-3
Milton, MA 02186
Phone (617) 696-3411

825 Washington St
Ste 260
Norwood, MA 02062
Phone (781) 769-2330

Interoperability endpoints

  • Direct secure messaging: dpeter66386@tuftsmedicine.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHHAA/Endpoint/GBHHAA
  • Direct secure messaging: pdewire447930@direct.bilh.masshiway.net

Organizations & group practices 7

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 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1063400349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "4TH FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-376-2017",
            "fax_number": "617-376-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "4TH FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-376-2017",
            "fax_number": "617-376-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWIRE",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "58417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070174",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "058417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.