Individual provider Active NPI

Thomas J. Gill IV, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dedham, MA
National Provider Identifier
1457339491
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
152013 Issued in MA
Practice address
40 Allied Dr
Dedham, MA 02026-6146
Phone
(617) 264-1100
Fax
(617) 264-1101
NPI assigned
Jan 9, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 152013 MA Primary

Addresses

Primary practice location

40 Allied Dr
Dedham, MA 02026-6146

Mailing address

Bmchs Provider Enrollment
960 Massachusetts Ave FLR 2
Boston, MA 02118

Other practice location 1

SEMC - Orthopedic Department
736 Cambridge Street
Brighton, MA 02135
Phone (617) 779-6500

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
I20040709000497 MA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2365420056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Boston Sports Medicine and Research Institute LLCGroup PAC ID 6305060013, 2 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

40 Allied Dr
Dedham, MA 02026-6146
Phone (781) 251-3535

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)70
Upper limb (arm) arthroscopy (minimally invasive joint repair)92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2015 Accepting new patients
New England Baptist Surgery Center LLC Current Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2015 Accepting new patients
Boston Sports Medicine and Research Institute LLC CurrentSince Jan 15, 2014 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

Interoperability endpoints

  • Direct secure messaging: gill.thomas.bsmri@direct.partners.masshiway.net
  • Direct secure messaging: tgill85854@direct.bmc.masshiway.net
  • Direct secure messaging: thomas.gill.1@11813.direct.athenahealth.com
  • Direct secure messaging: thomas.gill.1@2017.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1457339491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BMCHS PROVIDER ENROLLMENT",
            "address_2": "960 MASSACHUSETTS AVE FLR 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ALLIED DR",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266146",
            "telephone_number": "617-264-1100",
            "fax_number": "617-264-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SEMC - Orthopedic Department",
            "address_2": "736 Cambridge Street",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-779-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "152013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.