Individual provider Active NPI

David Lawlor, MD

  • Pediatric Surgery Physician
  • Boston, MA
National Provider Identifier
1295711323
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
74011 Issued in MA
Practice address
55 Fruit St
Pediatric Surgery WRN 11
Boston, MA 02114-2696
Phone
(617) 726-8858
Fax
(617) 726-2167
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 74011 MA
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0120X 74015 MT
Pediatric Surgery Physician 2086S0120X 74011 MA Primary

Addresses

Primary practice location

55 Fruit St
Pediatric Surgery WRN 11
Boston, MA 02114-2696

Mailing address

PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 726-8858

Other practice location 1

202 Conway Dr Ste 200
Kalispell, MT 59901-3153
Phone (406) 758-7490

Other identifiers 3

IdentifierTypeStateIssuer
J22667OtherMABCBS MA
0101524MedicaidMA
074011OtherMATUFTS HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050912000981 MA Practitioner - General SurgeryPractitioner - Other (Physician) 8224061114 Reassigns benefits to 3 organizations
I20141223000451 NH Practitioner - General SurgeryPractitioner - Other (Physician) 8224061114 Reassigns benefits to 2 organizations
I20250122002616 MT Practitioner - General SurgeryPractitioner - Pediatric Medicine 8224061114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Geisel School of Medicine at Dartmouth, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74011MAMDPediatric Surgery Physician
74015MTMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Elliot Professional Services Single Specialty CurrentSince Jun 22, 2018 Accepting new patients
Cambridge Public Health Commission Single Specialty Current Accepting new patients
The General Hospital Corporation Single Specialty CurrentSince Feb 3, 2011 Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 1, 2020 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Mar 7, 2025 Accepting new patients
The Shriners' Hospital for Children Single Specialty Current Accepting new patients
Kalispell Regional Medical Center Inc Single Specialty Current Accepting new patients
The Shriners' Hospital for Children Surgery CurrentSince Mar 1, 2020 Accepting new patients
Kalispell Regional Med Center Inc CurrentSince Mar 7, 2025 Accepting new patients
Westchester Neurological Consultant PC Single Specialty Past Accepting new patients

Locations

55 Fruit St
#11
Boston, MA 02114
Phone (617) 724-5110

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

51 Blossom St
Boston, MA 02114
Phone (617) 722-3000

55 Fruit St
Boston, MA 02114

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

202 Conway Dr
Ste 200
Kalispell, MT 59901
Phone (406) 752-8433

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Interoperability endpoints

  • Direct secure messaging: lawlor.david.mgh@direct.partners.masshiway.net
  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: dlawlor3377@direct.challiance.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1295711323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-726-8858",
            "fax_number": "617-726-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "PEDIATRIC SURGERY WRN 11",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-8858",
            "fax_number": "617-726-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Conway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013153",
            "country_code": "US",
            "telephone_number": "406-758-7490",
            "fax_number": "406-758-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "74011",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MT",
            "license": "74015",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MA",
            "license": "74011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J22667",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101524",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "074011",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 Conway Dr Ste 200",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.