Active NPI
Thomas Schnelldorfer, MD
- Surgery Physician
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 250305
- Practice address
- Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001 - Phone
- (781) 744-8000
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 250305 | MA | Primary |
Addresses
Primary practice location
Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001
Mailing address
Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001
Phone (781) 744-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110092813A | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
91 Montvale Ave
Suite 208
Stoneham, MA 02180-3649
Phone (781) 306-6166
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250305 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallmark Health Medical Associates Inc | Surgery | Current | Accepting new patients |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Pratt Surgical Associates Inc | Surgery | Current | Accepting new patients |
| Melrosewakefield Healthcare, Inc. | Past | Accepting new patients | |
| Tufts Medical Center, Inc. | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
959 Concord St
Ste 200
Framingham, MA 01701
Phone (508) 532-0223
1690 Crown Colony Dr
Quincy, MA 02169
Phone (781) 237-3395
425 Revere St
Revere, MA 02151
Phone (781) 286-1313
41 Montvale Ave
Stoneham, MA 02180
Phone (781) 224-5806
91 Montvale Ave
Ste 208
Stoneham, MA 02180
Phone (781) 279-1123
91 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-1952
Interoperability endpoints
- tschnelldorfer32173@tuftsmedicine.direct-ci.com
Organizations & group practices 5
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.
-
- Surgery Physician
- Boston, MA
- NPI 1912944182
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1588757348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAHEY CLINIC",
"address_2": "41 MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAHEY CLINIC",
"address_2": "41 MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNELLDORFER",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "250305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110092813A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.