Organization Active NPI

Frank X. Pedlow Jr, MD PC

  • Orthopaedic Surgery Physician
  • Boston, MA
National Provider Identifier
1073501649
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
79694 Issued in MA
Legal business name
FRANK X. PEDLOW JR, MD PC
Practice address
30 Lancaster St
2ND FLR
Boston, MA 02114-1704
Phone
(617) 227-9300
Fax
(617) 227-3800
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Frank X Pedlow Jr., M.D.NPI 1841292414
Title
Owner
Phone
(617) 227-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 79694 MA Primary

Addresses

Primary practice location

30 Lancaster St
2ND FLR
Boston, MA 02114-1704

Mailing address

PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071

Other identifiers 4

IdentifierTypeStateIssuer
729566OtherMATUFTS
F82731OtherMAHPHC
9728236MedicaidMA
M18198OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050621000132 MA Part B Supplier - Clinic/Group Practice 4385689447 Receives reassigned benefits from 4 practitioners
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

101 Merrimac St
Boston, MA 02114
Phone (617) 726-1344

55 Fruit St
Boston, MA 02114

Interoperability endpoints

  • Direct secure messaging: pedlow.frank.mgh@direct.partners.masshiway.net
  • Direct secure messaging: lee.christie.mgh@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1073501649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020430086",
            "telephone_number": "781-749-9071",
            "fax_number": "781-749-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "address_2": "2ND FLR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-227-9300",
            "fax_number": "617-227-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK X. PEDLOW JR, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "PEDLOW",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-227-9300",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "79694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "729566",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "F82731",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9728236",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M18198",
            "state": "MA"
        }
    ],
    "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 Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.