Active NPI
Robert L Vanderlin, MD
- Obstetrics & Gynecology Physician
- Weymouth, MA
National Provider Identifier
1336120377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 49353
- Practice address
- 51 Performance Dr
Weymouth, MA 02189-3104 - Phone
- (781) 682-8000
- Fax
- (781) 335-1412
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 49353 | MA | Primary |
Addresses
Primary practice location
51 Performance Dr
Weymouth, MA 02189-3104
Mailing address
75 Washington St
Norwell, MA 02061-9147
Phone (781) 878-5200
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042297845 | Other | MA | PRIVATE HEALTHCARE SYSTEM |
| 042297845 | Other | MA | UHC |
| 136225 | Other | MA | HVD PILGRIM HEALTH CARE |
| 6181872 | Medicaid | MA | |
| 042297845 | Other | MA | UNITED HEALTH CARE |
| 049353 | Other | MA | TUFTS |
| 042297845 | Other | MA | HCVM |
| 042297845 | Other | MA | DOC FIRST |
| 042297845 | Other | MA | TRICARE |
| 34726 | Other | MA | FALLON |
| 4218639 | Other | MA | AETNA |
| 042297845 | Other | MA | GIC UNICARE |
| 042297845 | Other | MA | GREAT WEST HEALTH CARE |
| J03518 | Other | MA | BCBS |
| 6181872 | Other | MA | NEIGHBORHOOD HLTH PLAN |
| 702028 | Other | MA | TUFTS MEDICARE PREFERRED |
| B2082201 | Other | MA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49353 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1336120377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WASHINGTON ST",
"city": "NORWELL",
"state": "MA",
"postal_code": "020619147",
"telephone_number": "781-878-5200",
"fax_number": "781-871-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 PERFORMANCE DR",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893104",
"telephone_number": "781-682-8000",
"fax_number": "781-335-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERLIN",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "49353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HVD PILGRIM HEALTH CARE",
"identifier": "136225",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6181872",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "049353",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOC FIRST",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "34726",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4218639",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIC UNICARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTH CARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J03518",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HLTH PLAN",
"identifier": "6181872",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS MEDICARE PREFERRED",
"identifier": "702028",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B2082201",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.