Ashley Dealy Ackerman, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Brookline, MA
NPI 1205930625 · NPPES record last updated Aug 8, 2007
Key facts
- NPI
- 1205930625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 221642 (MA)
- Practice address
- One Brookline Place
Suite 501
Brookline, MA 02445 - Phone
- (617) 732-1510
- Fax
- (617) 732-0986
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Boston University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth OB-GYN, PC
Practice addresses (Care Compare)
1 Brookline PL
Suite 305
Brookline, MA 02445-7296
Phone (617) 732-1510
Hospital & facility affiliations
- Brigham and Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040915000279 | MA | Practitioner - Obstetrics/Gynecology | 2062489479 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth OB-GYN, PC | Current |
Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Brigham & Womens Hospital, Inc. | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
1 Brookline Pl
Ste 501
Brookline, MA 02445
Phone (617) 732-1510
1 Brookline Pl
Ste 305
Brookline, MA 02445
Phone (617) 232-3030
Interoperability endpoints
- ackerman.ashley.cob@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 221642 | MA | Yes |
Addresses
Primary practice location
One Brookline Place
Suite 501
Brookline, MA 02445
Mailing address
1 Brookline PL
Suite 305
Brookline, MA 02445-7224
Phone (617) 732-1510
Other providers in Brookline, MA
- Anna Valliant Abboud
- Jeffrey Abraham
- Jonathan S. Abrams
- Joan Abramson
- Stefanie Rita Acierno
- Acuboston, Inc
- Ad Medical Services, Inc.
- Adam Auto Accident Physio Doctor,Inc
- Mariel Lindsey Adams
- Tamra Adams
All providers in Brookline, MA · Obstetrics & Gynecology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.