Active NPI
Benjamin J Bovell-Ammon, MD, MPH
- Addiction Medicine (Preventive Medicine) Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 287992
- Practice address
- 11 Wilbraham Road
2ND Floor
Springfield, MA 01109-3161 - Phone
- (413) 794-2511
- Fax
- (413) 794-8428
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 287992 | MA | |
| Internal Medicine Physician | 207R00000X | 287992 | MA | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 287992 | MA | Primary |
Addresses
Primary practice location
11 Wilbraham Road
2ND Floor
Springfield, MA 01109-3161
Mailing address
280 Chestnut Street
2ND Flloor
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
General Internal Medicine - Hospitalist Group
Crosstown 2
Boston, MA 02118
Phone (617) 414-7399
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Southwestern Medical School at Dallas, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 High St
Springfield, MA 01105-1442
Phone (413) 794-2511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Internal Medicine | Current | Accepting new patients |
Locations
140 High St
Springfield, MA 01105
Phone (413) 495-1500
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
11 Wilbraham Rd
Ste 2
Springfield, MA 01109
280 Chestnut St
Springfield, MA 01199
Phone (413) 794-3909
Organizations & group practices 1
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1477084622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FLLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WILBRAHAM ROAD",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093161",
"telephone_number": "413-794-2511",
"fax_number": "413-794-8428"
}
],
"practiceLocations": [
{
"address_1": "General Internal Medicine - Hospitalist Group",
"address_2": "Crosstown 2",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-414-7399",
"fax_number": "617-414-4676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOVELL-AMMON",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MA",
"license": "287992",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "287992",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "MA",
"license": "287992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.