Individual provider Active NPI

Adam H. Rogers, M.D.

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1093785313
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
204924 Issued in MA
Practice address
750 Washington St
# 450
Boston, MA 02111-1526
Phone
(617) 636-5486
Fax
(617) 636-4866
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 204924 MA
Ophthalmology Physician 207W00000X 204924 MA Primary

Addresses

Primary practice location

750 Washington St
# 450
Boston, MA 02111-1526

Mailing address

145 Beard Way
Needham, MA 02492-1038
Phone (781) 449-9181

Other identifiers 1

IdentifierTypeStateIssuer
0108341MedicaidMA

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
I20040504000757 MA Practitioner - Ophthalmology 1658369194 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204924MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eye Health Inc Ophthalmology CurrentSince Jul 25, 2000 Accepting new patients
Center for Eye Health Inc Ophthalmology CurrentSince Jul 25, 2000 Accepting new patients
Tallman Eye Bidco Ophthalmology CurrentSince Feb 20, 2016 Accepting new patients
Premier Optical Inc. Past Accepting new patients
Urban Eye MD Associates, P.C Ophthalmology PastSince Mar 13, 2006 Accepting new patients

Locations

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

800 Washington St
#7105
Boston, MA 02111
Phone (617) 636-2395

1 Pearl St
Ste 1100
Brockton, MA 02301
Phone (508) 584-2100

1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

Interoperability endpoints

  • Direct secure messaging: arogers46093@tuftsmedicine.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1093785313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BEARD WAY",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921038",
            "telephone_number": "781-449-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "# 450",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-5486",
            "fax_number": "617-636-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ADAM",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "204924",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "204924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108341",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.