Active NPI
David S Chapin, M.D.
- Gynecology Physician
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 29079
- Practice address
- 1180 Beacon St
Suite 3C
Brookline, MA 02446-3885 - Phone
- (617) 202-9222
- NPI assigned
- Jun 2, 2006
- Last updated
- Oct 11, 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 29079 | MA | Primary |
Addresses
Primary practice location
1180 Beacon St
Suite 3C
Brookline, MA 02446-3885
Mailing address
PO Box 592
North Truro, MA 02652-0592
Phone (617) 515-5593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074923 | Medicaid | MA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000027 | MA | Practitioner - Obstetrics/Gynecology | 7810896149 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Harvard Medical School, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12 Wood St
Suite 2
Lowell, MA 01851-4312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29079 | MA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elm Tree Clinic, LLC | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Locations
12 Wood St
Ste 2
Lowell, MA 01851
Phone (978) 341-4144
390 Pleasant St
Ste A
Malden, MA 02148
Phone (617) 302-3343
21 School St
Ste 1
Quincy, MA 02169
Phone (617) 302-3343
Interoperability endpoints
- david.chapin.1@19377.direct.athenahealth.com
- https://api.platform.athenahealth.com/19377/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1538609904
-
dba OB/GYN - HMFP at BIDMC
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1518908136
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": "1476144000000",
"number": "1235177528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 592",
"city": "NORTH TRURO",
"state": "MA",
"postal_code": "026520592",
"telephone_number": "617-515-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BEACON ST",
"address_2": "SUITE 3C",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463885",
"telephone_number": "617-202-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPIN",
"first_name": "DAVID",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MA",
"license": "29079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2074923",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.