Martha'S Vineyard Hospital, Inc.
Organization Active NPI Critical Access Hospital · Oak Bluffs, MA
NPI 1497832646 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1497832646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 2042 (MA)
- Legal business name
- MARTHA'S VINEYARD HOSPITAL, INC.
- Practice address
- 1 Hospital Rd
Oak Bluffs, MA 02557 - Phone
- (508) 693-0410
- Fax
- (508) 696-8516
- NPI assigned
- Nov 1, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MARTHA'S VINEYARD HOSPITAL, INC.
Authorized official
- Name
- Vincent T McDermott
- Title
- SVP, Chief Financial Officer
- Phone
- (617) 243-6381
Owners & managing parties with NPI records 2
-
Daniel E Pesch, M.D.
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Related certifications (CCN) 1
Facilities with the same owner 4
Practitioners 150
-
James Estes, MD
-
Nicole M Absar, M.D.
-
Jeffrey A Barnes, M.D., PH.D
-
Ruth A Barron, MD
-
Anne-Marie Bell, FNP-C
-
Laide Bello, M.D.
-
Diane Bird, NP
-
Joseph Benjamin Bond, M.D.
-
Michael P Bowley, MD, PH.D.
-
Kevin Bowman, MD
-
Jill Nelson Burke, APRN
-
Matthew Jonathan Carty, M.D.
-
Karen A Casper, M.D.
-
Adam W Cerel, MD
-
Joseph Edward Chase, M.D.
-
Charles S Chen, MD
-
Steven Tze-Wei Chen, M.D., M.P.H.
-
Eugene Ho-Joon Chung, M.D.
-
Mark G Colucci, PA-C
-
Joseph J Currier, M.D.
Affiliated clinicians 6
-
Laide Bello, M.D.
-
Emmanuel Kanyi, M.D.
-
Ravi Kumar Kshirsagar, M.D.
-
Amar Luzic, MD
-
Theresa Ciardi Sheehan, MD FACP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Hospital certification: CCN 22Z300
- Legal name
- MARTHA'S VINEYARD HOSPITAL INC
- Doing business as
- MARTHA'S VINEYARD HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 22, 1921 in MA
- Enrollment address
- 1 Hospital Rd
Oak Bluffs, MA 25571406
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Zachary Rosenburg |
Corporate Director |
Mar 31, 2023 | |
| Thomas W Colomb |
Corporate Officer |
Jul 24, 2020 | |
| Debra a Burke |
Corporate Officer |
Jan 1, 2016 | |
| Daniel E Pesch |
Corporate Director |
Jul 1, 2020 | |
| John M Denson |
Corporate Director |
Nov 1, 2023 | |
| Joanna Hazell |
Corporate Director |
Jan 1, 2024 | |
| W-2 Managing Employee | Jan 1, 2024 | ||
| Brent L Henry |
Corporate Officer |
Feb 1, 2007 | |
| Bruce Bullen |
Corporate Director | Jul 1, 2020 | |
| Paulo C Deoliveira |
Corporate Director |
Jul 26, 2024 | |
| Denise Schepici |
Corporate Officer |
Jul 1, 2020 | |
| Vincent T McDermott |
Corporate Director |
Jan 1, 2024 | |
| Robert M Greenglass |
Corporate Director |
Jul 28, 2025 | |
| Christopher Scott |
Corporate Director |
Jul 1, 2020 | |
| Juliette E Fay |
Corporate Director |
Jul 1, 2020 | |
| Peter Nessen |
Corporate Officer |
Jul 1, 2020 | |
| William J Roman |
Corporate Director |
Jul 1, 2020 | |
| The Massachusetts General Hospital |
5% Or Greater Direct Ownership Interest | Feb 1, 2007 | 100% |
| Rebecca Haag |
Corporate Director |
Jul 29, 2022 | |
| Valerie E Stone |
Corporate Officer |
Jun 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070205000346 | MA | Part a Provider - Critical Access Hospital | 9931166113 | Practice locations: Oak Bluffs, MA |
National Provider Directory
- Tax ID family
- Marthas Vineyard Hospital
- Part of
- Marthas Vineyard Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 2042 | MA | Yes |
Addresses
Primary practice location
1 Hospital Rd
Oak Bluffs, MA 02557
Mailing address
PO Box 1477
Oak Bluffs, MA 02557-1477
Phone (508) 693-0410
Other names
- Swing Bed Program
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Oak Bluffs, MA
- Martha'S Vineyard Hospital
- Martha'S Vineyard Hospital
- Martha'S Vineyard Hospital
- Martha'S Vineyard Hospital, Inc.
- Martha'S Vineyard Hospital, Inc.
- Martha'S Vineyard Hospital, Inc.
- Martha'S Vineyard Hospital, Inc.
- Marthas Vineyard Community Services, Inc Dba Visiting Nurse Service
- Marthas Vineyard Hospital Dental Center
- Sheila McHugh
All providers in Oak Bluffs, MA · Critical Access Hospital in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.