Individual provider Active NPI

Marc M Sadowsky, M.D.

  • Psychiatry Physician
  • Lawrence, MA
National Provider Identifier
1558358689
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
75226 Issued in MA
Practice address
354 Merrimack St
Lawrence, MA 01843-1754
Phone
(978) 687-2321
Fax
(978) 685-7265
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8176 NH
Geriatric Psychiatry Physician 2084P0805X 75226 MA
Geriatric Psychiatry Physician 2084P0805X 8176 NH
Psychiatry Physician 2084P0800X 75226 MA Primary

Addresses

Primary practice location

354 Merrimack St
Lawrence, MA 01843-1754

Mailing address

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

Other practice location 1

168 Kinsley St
Nashua, NH 03060-3634
Phone (978) 687-2321

Other practice location 2

70 Butler St
Salem, NH 03079-3925
Phone (978) 687-2321

Other identifiers 14

IdentifierTypeStateIssuer
0106679Y0NH01OtherNHANTHEM
J12074OtherMABCBS
079478000OtherMAMAGELLAN FOR BCBSMA
101854OtherMAMAGELLAN BEHAVIORAL HEALT
1169401OtherMAFIRST HEALTH
99620OtherMACIGNA BEHAVIORAL HEALTH
015769OtherMAVALUEOPTIONS FOR OPTIONS
15-90547OtherMAUNITED BEHAVIORAL HEALTH
30003553MedicaidNH
4274226OtherMAMAGELLAN FOR AETNA MBRS
68499OtherMAVALUE BEHAVIORAL HEALTH
S017593OtherMACHAMPUS
000834OtherMAVALUEOPTIONS FOR HPHC
075226OtherMATHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20050418000656 MA Practitioner - Psychiatry 9436048600 Reassigns benefits to 1 organization
I20051026001027 NH Practitioner - Psychiatry 9436048600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

168 Kinsley St
Nashua, NH 03060-3634
Phone (978) 687-2321

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75226MAMDPsychiatry Physician
8176NHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

354 Merrimack St
Ste 1
Lawrence, MA 01843

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

168 Kinsley St
Ste 1
Nashua, NH 03060
Phone (603) 882-2114

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

70 Butler St
Salem, NH 03079
Phone (603) 893-2900

Interoperability endpoints

  • Direct secure messaging: msadowsky110708@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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 1

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1558358689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "978-687-2321",
            "fax_number": "978-685-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST",
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            "postal_code": "018431754",
            "telephone_number": "978-687-2321",
            "fax_number": "978-685-7265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Kinsley St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603634",
            "country_code": "US",
            "telephone_number": "978-687-2321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Butler St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793925",
            "country_code": "US",
            "telephone_number": "978-687-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADOWSKY",
        "first_name": "MARC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "8176",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "75226",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NH",
            "license": "8176",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "75226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0106679Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J12074",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN FOR BCBSMA",
            "identifier": "079478000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "101854",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1169401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "99620",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS FOR OPTIONS",
            "identifier": "015769",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "15-90547",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003553",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN FOR AETNA MBRS",
            "identifier": "4274226",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "68499",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "S017593",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS FOR HPHC",
            "identifier": "000834",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THP",
            "identifier": "075226",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.