Individual provider Active NPI

Stanley Hom, M.D.

  • Orthopaedic Hand Surgery Physician
  • Milton, MA
National Provider Identifier
1356380448
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
58824 Issued in MA
Practice address
100 Highland St
G3
Milton, MA 02186-3881
Phone
(617) 696-9299
Fax
(617) 298-2107
NPI assigned
Jun 5, 2006
Last updated
Jan 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 58824 MA Primary

Addresses

Primary practice location

100 Highland St
G3
Milton, MA 02186-3881

Mailing address

100 Highland St
G3
Milton, MA 02186-3881
Phone (617) 696-9299

Other identifiers 4

IdentifierTypeStateIssuer
17352OtherMAHARVARD PILGRIM
709171OtherMATUFTS
3036260MedicaidMA
J06916OtherMABLUE SHIELD

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
I20050404000929 MA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4688621469 Reassigns benefits to 2 organizations
Practice locations: S Weymouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Medical College of Wisconsin, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

825 Washington St
Suite 260
Norwood, MA 02062-3488
Phone (781) 769-6720

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists of Massachusetts PC CurrentSince Feb 2, 2015 Accepting new patients
Orthopaedic Specialists of Massachusetts, LLC Hand Surgery CurrentSince Feb 1, 2015 Accepting new patients
Orthopedic Care Physician Network LLC CurrentSince Jan 23, 2013 Accepting new patients
Orthopedic Care Physician Network, LLC Hand Surgery CurrentSince Jan 23, 2013 Accepting new patients
Orthopaedic Specialists of Massachusetts LLC CurrentSince Feb 1, 2015 Accepting new patients
Stanley Hom,MD Hand Surgery PastSince Dec 16, 1987 Accepting new patients

Locations

100 Highland St
Ste G-3
Milton, MA 02186
Phone (617) 696-3411

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

825 Washington St
Ste 260
Norwood, MA 02062
Phone (781) 769-2330

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1356380448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "G3",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-9299",
            "fax_number": "617-298-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "G3",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-9299",
            "fax_number": "617-298-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "STANLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MA",
            "license": "58824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "17352",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "709171",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036260",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J06916",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.