Individual provider Active NPI

Thomas Pomposelli, MD

  • Surgery Physician
  • West Springfield, MA
National Provider Identifier
1508248659
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036159716 Issued in IL
Practice address
134 Capital Dr Ste B
West Springfield, MA 01089-1349
Phone
(413) 747-1817
Fax
(413) 205-2807
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1020709 MA
Surgery Physician 208600000X 036159716 IL Primary

Addresses

Primary practice location

134 Capital Dr Ste B
West Springfield, MA 01089-1349

Mailing address

PO Box 366
Ludlow, MA 01056-0366
Phone (413) 417-2977

Other practice location 1

676 N Saint Clair St Fl 19
Chicago, IL 60611-2927
Phone (312) 695-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220729000516 IL Practitioner - General Surgery 9335521962
I20240809003253 MA Practitioner - General Surgery 9335521962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care and Transplant Services of New England PCGroup PAC ID 1658655352, 13 clinicians

Practice addresses (Care Compare)

134 Capital Dr
Suite B
West Springfield, MA 01089-1349
Phone (413) 474-1817

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020709MAMDClinical Social Worker
036159716ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care and Transplant Services of New England, PC Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

134 Capital Dr
Ste B
West Springfield, MA 01089
Phone (413) 474-1817

208 Ashley Ave
West Springfield, MA 01089
Phone (413) 747-4170

Interoperability endpoints

  • Direct secure messaging: tpomposelli66768@direct.acumenmd.com

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.

Hospital & facility affiliations 2

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1508248659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560366",
            "telephone_number": "413-417-2977",
            "fax_number": "413-507-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CAPITAL DR STE B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891349",
            "telephone_number": "413-747-1817",
            "fax_number": "413-205-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Fl 19",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112927",
            "country_code": "US",
            "telephone_number": "312-695-8900",
            "fax_number": "312-695-7752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMPOSELLI",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "1020709",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036159716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.