Individual provider Active NPI

Artem Gutmanovich, M.D.

  • Family Medicine Physician
  • Swampscott, MA
National Provider Identifier
1154636777
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1014651 Issued in MA
Practice address
413 Paradise Rd Ste B
Swampscott, MA 01907-1332
Phone
(781) 678-8144
NPI assigned
Aug 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125057536 IL
Family Medicine Physician 207Q00000X ME121037 FL
Family Medicine Physician 207Q00000X 1014651 MA Primary

Addresses

Primary practice location

413 Paradise Rd Ste B
Swampscott, MA 01907-1332

Mailing address

290 174TH St
2008
Sunny Isles Beach, FL 33160-3200
Phone (847) 877-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150513002541 FL Practitioner - Family Practice 3779724687 Reassigns benefits to 1 organization
I20231215001718 MA Practitioner - Family Practice 3779724687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Health Urgent Care LLCGroup PAC ID 4486976792, 39 clinicians

Practice addresses (Care Compare)

9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 323-5900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125057536ILMDFamily Medicine Physician
1014651MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Feb 18, 2015 Accepting new patients
Circle Health Urgent Care, LLC Family Medicine CurrentSince Apr 27, 2025 Accepting new patients
Pedem PLLC Past Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

9 Loon Hill Rd
Dracut, MA 01826
Phone (978) 323-0360

198 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 323-0302

Interoperability endpoints

  • Direct secure messaging: agutmanovich135475@tuftsmedicine.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1154636777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 174TH ST",
            "address_2": "2008",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603200",
            "telephone_number": "847-877-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 PARADISE RD STE B",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071332",
            "telephone_number": "781-678-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMANOVICH",
        "first_name": "ARTEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125057536",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121037",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1014651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

Verify at the official NPI Registry.