Active NPI
James David Gottschall, MD
- Orthopaedic Surgery Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 268096
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 359-7027
- NPI assigned
- Mar 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 268096 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-7500
Other practice location 1
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other practice location 2
110 Liberty St
Brockton, MA 02301-5674
Phone (508) 565-3055
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Arkansas College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
Hospital & facility affiliations
- Brockton Vna
- Signature Healthcare Brockton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Signature Healthcare Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Boston University Family Medicine, Inc. | Past | Accepting new patients | |
| Boston University Orthopaedic Surgical Associates, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
110 Liberty St
Brockton, MA 02301
110 Liberty St
Ste 2A
Brockton, MA 02301
Phone (508) 894-0766
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
Interoperability endpoints
- jgottschall91935@tuftsmedicine.direct-ci.com
- james.gotschall@direct.signature.masshiway.net
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Orthopaedic Surgery
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Orthopaedic Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Family Medicine Physician
- Boston, MA
- NPI 1134166390
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1164460580
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- Home Health Agency
- Brockton, MA
- NPI 1043213275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1144683194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-359-7027"
}
],
"practiceLocations": [
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Liberty St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023015674",
"country_code": "US",
"telephone_number": "508-565-3055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTTSCHALL",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-29",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "268096",
"primary": true
}
],
"identifiers": [],
"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 Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.