Active NPI
Adam Roman Puchalski, M.D.
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 141192
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (617) 726-4400
- NPI assigned
- Mar 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD-23805 | HI | |
| Internal Medicine Physician | 207R00000X | 141192 | CA | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 292322 | MA |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
55 Fruit St
Boston, MA 02114-2696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304
2950 Sycamore Dr
Simi Valley, CA 93065-1210
480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 593-3400
50 Staniford St
Boston, MA 02114-2517
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- North Shore Medical Center -
- Adventist Health Simi Valley
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141192 | CA | MD | Internal Medicine Physician |
| MD-23805 | HI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Internal Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients |
Locations
124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
104 Endicott St
Ste 104
Danvers, MA 01923
Phone (978) 882-6700
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
480 Lynnfield St
Lynn, MA 01904
Phone (781) 581-3280
Interoperability endpoints
- puchalski.adam.nsmc@direct.partners.masshiway.net
- apuchalski21216@hhsc.direct-ci.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
Internal Medicine
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- Family Medicine Physician
- Glendale, CA
- NPI 1083976294
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Family Medicine Physician
- Simi Valley, CA
- NPI 1811356298
-
- Multi-Specialty Clinic/Center
- Ukiah, CA
- NPI 1417295643
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1265894877",
"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": "021142696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCHALSKI",
"first_name": "ADAM",
"middle_name": "ROMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "HI",
"license": "MD-23805",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "141192",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "292322",
"primary": false
}
],
"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 Apr 22, 2026; 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.