Individual provider Active NPI

Daryl G Colden, M.D.

  • Otolaryngology Physician
  • Newburyport, MA
National Provider Identifier
1073574042
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
208834 Issued in MA
Practice address
1 Wallace Bashaw Jr Way
Ste 3002
Newburyport, MA 01950
Phone
(978) 997-1550
Fax
(978) 997-1552
NPI assigned
Mar 30, 2006
Last updated
Feb 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 208834 MA Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 208834 MA

Addresses

Primary practice location

1 Wallace Bashaw Jr Way
Ste 3002
Newburyport, MA 01950

Mailing address

1 Wallace Bashaw Jr Way
Ste 3002
Newburyport, MA 01950
Phone (978) 997-1550

Other identifiers 14

IdentifierTypeStateIssuer
0026698OtherMANEIGHBORHOOD HEALTH
10-00490OtherMAEVERCARE
J24800OtherMABLUE CROSS BLUE SHIELD
19950OtherMAHARVARD PILGRIM
3391910OtherMAAETNA
01Y003843MA03OtherNVANTHEM NH
30204061MedicaidNH
97625305OtherMANETWORK HEALTH
208834OtherMATUFTS HEALTH PLAN
9785370MedicaidMA
P00460150OtherMARAILROAD MEDICARE
1000458OtherMDUNITED HEALTHCARE
3143490OtherMACIGNA
59186OtherMAFALLON COMMUNITY HEALTH

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
I20040216000003 MA Practitioner - Otolaryngology 8022902501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colden Ear Nose Throat and Allergy LLCGroup PAC ID 3678890597, 6 clinicians

Practice addresses (Care Compare)

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3877
Phone (978) 997-1550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colden Ear Nose Throat & Allergy LLC Otolaryngology CurrentSince Dec 31, 2005 Accepting new patients
Colden Ear Nose Throat & Allergy LLC Otolaryngology CurrentSince Dec 31, 2005 Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients

Locations

62 Brown St
Ste 205
Haverhill, MA 01830
Phone (978) 499-3810

62 Brown St
Ste 301
Haverhill, MA 01830
Phone (978) 374-6770

1 Wallace Bashaw Way
Ste 3002
Newburyport, MA 01950
Phone (978) 997-1550

200 Sutton St
Ste 100
North Andover, MA 01845
Phone (978) 685-2900

Interoperability endpoints

  • Direct secure messaging: daryl.colden@cse.eclinicaldirectplus.com

Organizations & group practices 3

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 6

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1073574042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW JR WAY",
            "address_2": "STE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-997-1550",
            "fax_number": "978-997-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW JR WAY",
            "address_2": "STE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-997-1550",
            "fax_number": "978-997-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDEN",
        "first_name": "DARYL",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "208834",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MA",
            "license": "208834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0026698",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "10-00490",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J24800",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "19950",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3391910",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH",
            "identifier": "01Y003843MA03",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204061",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "97625305",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "208834",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785370",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00460150",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1000458",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3143490",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "59186",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.