NPIMap

Individual provider Active NPI

David J Prybyla, M.D.

  • Orthopaedic Surgery Physician
  • North Chelmsford, MA
National Provider Identifier
1104864495
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
216552 Issued in MA
Practice address
14 Research PL
North Chelmsford, MA 01863-2412
Phone
(978) 454-0706
Fax
(978) 970-0454
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 216552 MA Primary

Addresses

Primary practice location

14 Research PL
North Chelmsford, MA 01863-2412

Mailing address

14 Research PL
North Chelmsford, MA 01863-2412
Phone (978) 454-0706

Other identifiers 1

IdentifierTypeStateIssuer
2140217MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070828000023 MA Practitioner - Orthopedic Surgery 3375635931 Reassigns benefits to 1 organization
I20081007000535 NH Practitioner - Orthopedic Surgery 3375635931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopaedic Surgical Associates of Lowell, P.C.Group PAC ID 4880506484, 43 clinicians

Practice addresses (Care Compare)

14 Research PL
North Chelmsford, MA 01863-2460
Phone (978) 454-0706

23 Keewaydin Dr
Salem, NH 03079-2840
Phone (603) 386-0272

Hospital & facility affiliations

  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Tufts Medicine Care at Home - Home Health NH Home health agency, North Hampton, NH, CCN 307096
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement93
Knee replacement129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlantic Surgical Suites, LLC CurrentSince Jun 5, 2018 Accepting new patients
The Lowell General Hospital Past Accepting new patients
Orthopaedic Clinical Assoc Inc. Past Accepting new patients

Locations

23 Keewaydin Dr
Salem, NH 03079
Phone (603) 386-0272

Interoperability endpoints

  • Direct secure messaging: david.prybyla.1@1154.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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 11

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1104864495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-0706",
            "fax_number": "978-970-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-0706",
            "fax_number": "978-970-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYBYLA",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "216552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140217",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.