Individual provider Active NPI

David S Chapin, M.D.

  • Gynecology Physician
  • Brookline, MA
National Provider Identifier
1235177528
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
29079 Issued in MA
Practice address
1180 Beacon St
Suite 3C
Brookline, MA 02446-3885
Phone
(617) 202-9222
NPI assigned
Jun 2, 2006
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2074923MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000027 MA Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 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

LicenseStateTypeSpecialty
29079MAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elm Tree Clinic, LLC CurrentSince Mar 7, 2019 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

  • Direct secure messaging: david.chapin.1@19377.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.