David A. Chad, MD
Individual provider Active NPI Neurology Physician · Worcester, MA
NPI 1477537520 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1477537520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 45515 (MA)
- Practice address
- 55 Lake Ave N
Department of Neurology
Worcester, MA 01655-0002 - Phone
- (508) 856-2527
- Fax
- (508) 856-6778
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Reliant Medical Group Inc
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000160 | MA | Practitioner - Neurology | 7012927544 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45515 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Umass Memorial Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
24 Newton St
Southborough, MA 01772
Phone (508) 460-3190
900 Union St
Westborough, MA 01581
Phone (508) 871-0700
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
123 Summer St
Ste 230S
Worcester, MA 01608
Phone (508) 368-3150
Interoperability endpoints
- david.chad.npi1477537520.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 45515 | MA | Yes |
| Clinical Neurophysiology Physician | 2084N0600X | 45515 | MA | |
| Internal Medicine Physician | 207R00000X | 45515 | MA |
Addresses
Primary practice location
55 Lake Ave N
Department of Neurology
Worcester, MA 01655-0002
Mailing address
165 Cambridge St
820
Boston, MA 02114-2783
Phone (617) 643-6996
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0192589 | Medicaid | MA |
Other providers in Worcester, MA
- Laura Kathleen Cevik
- Elliot Cha
- Leanne L Chabior
- Kelsey T. Chabot
- Matthew Stephen Chabot
- Chadwick Ambulatory Care
- Chadwick Medical Associates, P.C.
- Paul Chae
- Anne Chaffee
- Colleen Chaffin
All providers in Worcester, MA · Neurology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.