Individual provider Active NPI

Phillip M Gendelman, MD

  • Ophthalmology Physician
  • Burlington, MA
National Provider Identifier
1427054576
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
46245 Issued in MA
Practice address
172 Cambridge St
Burlington, MA 01803-2921
Phone
(617) 202-2020
Fax
(617) 734-3264
NPI assigned
Jun 23, 2005
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 46245 MA Primary

Addresses

Primary practice location

172 Cambridge St
Burlington, MA 01803-2921

Mailing address

24 Webster PL
Brookline, MA 02445-7937
Phone (617) 202-2020

Other practice location 1

24 Webster Pl
Brookline, MA 02445-7937
Phone (617) 202-2020

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pgendelman@burlington.intellechartdirect.net Direct
Direct Messaging Address pgendelman@bostonvision.intellechartdirect.net Direct

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
I20050322001129 MA Practitioner - Ophthalmology 3274589320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Laser Eye Institute PCGroup PAC ID 9739123381, 23 clinicians

Practice addresses (Care Compare)

172 Cambridge St
Suite 103
Burlington, MA 01803-2984
Phone (617) 202-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46245MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Laser Eye Institute, PC CurrentSince Jun 1, 2022 Accepting new patients
Eye Associates PC Ophthalmology CurrentSince Oct 1, 2006 Accepting new patients
P & D Eye Associates LLC PastSince Mar 1, 2018 Accepting new patients
Boston Vision Network One Ophthalmology Past Accepting new patients

Locations

159 River Rd
Ste 4
Andover, MA 01810

24 Webster Pl
Brookline, MA 02445

172 Cambridge St
Burlington, MA 01803
Phone (701) 272-4944

172 Cambridge St
Ste 103
Burlington, MA 01803

25 Marston St
Ste 104
Lawrence, MA 01841
Phone (978) 685-5366

101 Main St
Ste 208
Medford, MA 02155
Phone (781) 395-5859

92 High St
Ste T31
Medford, MA 02155
Phone (781) 396-4010

200 Fortune Blvd
Milford, MA 01757

204 Worcester St
Wellesley Hls, MA 02481
Phone (617) 566-0062

3 Baldwin Green Cmn
Woburn, MA 01801
Phone (781) 376-1771

3 Baldwin Green Cmn
Ste 103
Woburn, MA 01801

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pgendelman@bostonvision.intellechartdirect.net
  • Direct secure messaging: pgendelman@burlington.intellechartdirect.net
  • Direct secure messaging: phillip.gendelman.p1@direct.bostoneyegroup.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1427054576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEBSTER PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457937",
            "telephone_number": "617-202-2020",
            "fax_number": "617-202-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CAMBRIDGE ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032921",
            "telephone_number": "617-202-2020",
            "fax_number": "617-734-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Webster Pl",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024457937",
            "country_code": "US",
            "telephone_number": "617-202-2020",
            "fax_number": "617-202-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENDELMAN",
        "first_name": "PHILLIP",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "46245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgendelman@burlington.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Registered address for direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XDR/XDM",
            "address_1": "172 Cambridge Street",
            "city": "Burlington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018032921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgendelman@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Registered address for direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.