Individual provider Active NPI

Dale C Pappas, PA-C

  • Medical Physician Assistant
  • Springfield, MA
National Provider Identifier
1114032315
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1296 Issued in MA
Practice address
175 Carew St Ste 200
Springfield, MA 01104-2391
Phone
(413) 732-4269
Fax
(413) 785-4619
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1296 MA
Medical Physician Assistant 363AM0700X 1296 MA Primary

Addresses

Primary practice location

175 Carew St Ste 200
Springfield, MA 01104-2391

Mailing address

175 Carew St Ste 200
Springfield, MA 01104-2391
Phone (413) 732-4269

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000689 MA Practitioner - Physician Assistant 6507801529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001081CTMDMental Health Counselor
1296MAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Nov 4, 2019 Accepting new patients
Claudia T Martorell MD LLC Past Accepting new patients
Mwa,PC Past Accepting new patients
Johnson Memorial Hospital, Inc. Past Accepting new patients

Locations

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

175 Carew St
Ste 200
Springfield, MA 01104
Phone (413) 734-8254

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • Direct secure messaging: dale.pappas.1@28965.direct.athenahealth.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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1114032315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CAREW ST STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042391",
            "telephone_number": "413-732-4269",
            "fax_number": "413-785-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAREW ST STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042391",
            "telephone_number": "413-732-4269",
            "fax_number": "413-785-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "DALE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "1296",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.