Individual provider Active NPI

Benjamin J Bovell-Ammon, MD, MPH

  • Addiction Medicine (Preventive Medicine) Physician
  • Springfield, MA
National Provider Identifier
1477084622
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
287992 Issued in MA
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

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022002084 MA Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Preventive Medicine 8426329657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine, Preventive Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

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

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Sep 7, 2023 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.

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

Verify at the official NPI Registry.