Individual provider Active NPI

David L Boardman, MD

  • Orthopaedic Surgery Physician
  • West Hatfield, MA
National Provider Identifier
1447366356
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
274439 Issued in MA
Practice address
4 West St
West Hatfield, MA 01088
Phone
(413) 586-8200
Fax
(413) 923-9330
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 274439 MA Primary

Addresses

Primary practice location

4 West St
West Hatfield, MA 01088

Mailing address

4 West St
West Hatfield, MA 01088-9562
Phone (413) 586-8200

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
I20180730001618 MA Practitioner - Orthopedic Surgery 5193815769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Davis School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Medical Group Western Massachusetts IncGroup PAC ID 2567359839, 291 clinicians

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

4 W St
Orthopedics and Sports Medicine
West Hatfield, MA 01088-9562
Phone (413) 586-8200

Hospital & facility affiliations

  • Vna & Hospice of Cooley Dickinson Home health agency, Northampton, MA, CCN 227021
  • Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274439MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 1, 2018 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

4 West St
West Hatfield, MA 01088
Phone (413) 570-1177

Interoperability endpoints

  • Direct secure messaging: boardman.david.cdh@direct.partners.masshiway.net

Organizations & group practices 3

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 4

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1447366356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST ST",
            "city": "WEST HATFIELD",
            "state": "MA",
            "postal_code": "010889562",
            "telephone_number": "413-586-8200",
            "fax_number": "413-923-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST ST",
            "city": "WEST HATFIELD",
            "state": "MA",
            "postal_code": "01088",
            "telephone_number": "413-586-8200",
            "fax_number": "413-923-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDMAN",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "274439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hatfield, MA

Sources for this page

Verify at the official NPI Registry.