Individual provider Active NPI

Steven J Ugent, MD

  • Dermatology Physician
  • Plainville, MA
National Provider Identifier
1417050436
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
79604 Issued in MA
Practice address
60 Messenger St
Plainville, MA 02762-2258
Phone
(508) 316-7471
Fax
(774) 643-1789
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 79604 MA Primary

Addresses

Primary practice location

60 Messenger St
Plainville, MA 02762-2258

Mailing address

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 316-7471

Other identifiers 1

IdentifierTypeStateIssuer
3126536MedicaidMA

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
I20040621000487 MA Practitioner - Dermatology 3072598531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, 191 clinicians

Practice addresses (Care Compare)

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 698-0055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions492
Removal or shaving of skin growth1-10
Skin biopsy132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79604MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates PC Dermatology CurrentSince Jun 29, 1994 Accepting new patients
Sturdy Health Inc CurrentSince Aug 1, 2019 Accepting new patients
Sturdy Health, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Boston University Dermatology, Inc. Dermatology CurrentSince Oct 15, 2007 Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients
Sturdy Health Inc Dermatology Past Accepting new patients

Locations

720 Harrison Ave
Ste 915
Boston, MA 02118
Phone (617) 638-7420

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

440 E Central St
Franklin, MA 02038
Phone (508) 298-1300

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

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 and National Provider Directory roles.

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1417050436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MESSENGER ST",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622258",
            "telephone_number": "508-316-7471",
            "fax_number": "774-643-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MESSENGER ST",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622258",
            "telephone_number": "508-316-7471",
            "fax_number": "774-643-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGENT",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "79604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126536",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, MA

Sources for this page

Verify at the official NPI Registry.