David A. Mattingly, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

52022 Issued in MA

Practice address

830 Boylston St
Suite 106
Chestnut Hill, MA 02467-2503

Phone

(617) 277-1205

Fax

(617) 232-6528

NPI assigned

Apr 26, 2006

Last updated

Jul 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/749/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• New England Baptist Hospital

  • General Acute Care Hospital
  • Roxbury Crossing, MA
  • NPI 1699767491

  Corporate Director, Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New England Baptist Medical Associates, Inc.

  • Internal Medicine Physician
  • Roxbury Crossing, MA
  • NPI 1609854991

  Orthopaedic Surgery

  Medicare reassignment NPD
• Longwood Orthopedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Chestnut Hill, MA
  • NPI 1609892892
  Authorized official Same address or phone
• Orthopaedic Clinical Assoc Inc.

  • Specialist
  • Roxbury Crossing, MA
  • NPI 1578528949
  NPD
• Boston Sports & Shoulder Center, LLC

  dba Boston Sports & Shoulder Center

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1437184165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1558328443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST",
            "address_2": "SUITE 106",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672503",
            "telephone_number": "617-277-1205",
            "fax_number": "617-232-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST",
            "address_2": "SUITE 106",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672503",
            "telephone_number": "617-277-1205",
            "fax_number": "617-232-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "52022",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "52022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013995",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Gail Mastrobattista
• Lorianne Masuoka, M.D.
• Matthew L Zizmor DDS PC
• Jane C Matthews, M.D.
• Michele L Matthews, PHARMD
• Jenna Maxfield, LICSW
• Sarah Ashton Mayberry, PA-C
• Caitlin Elizabeth Mayhew, CNM
• Arnold Frederic Mazur, MD
• Kaitlin McCarthy

• Adult Reconstructive Orthopaedic Surgery Physician in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.