Organization Active NPI

Pediatrics West, PC

  • Pediatrics Physician
  • Westford, MA
National Provider Identifier
1598850281
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRICS WEST, PC
Practice address
133 Littleton Road
Ste 101
Westford, MA 01886-3198
Phone
(978) 577-0437
Fax
(978) 692-9904
NPI assigned
Oct 4, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRICS WEST, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
James Daly, MDNPI 1821364159
Title
Owner
Phone
(978) 577-0437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

133 Littleton Road
Ste 101
Westford, MA 01886-3198

Mailing address

133 Littleton Road
Ste 101
Westford, MA 01886-3198
Phone (978) 577-0437

Other identifiers 1

IdentifierTypeStateIssuer
9751483MedicaidMA

Other names 1

  • Allergy West Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140826002429 MA Part B Supplier - Clinic/Group Practice 0143448514 Receives reassigned benefits from 36 practitioners
Practice locations: Fitchburg, MA; Groton, MA; Westford, MA

National Provider Directory

National Provider Directory
Part of
Westford Pediatrics

Locations

290 Baker Ave
Ste 217N
Concord, MA 01742

290 Baker Ave
Ste N217
Concord, MA 01742

19 Pierce Ave
Ste B
Fitchburg, MA 01420
Phone (978) 577-0437

120 Boston Rd
Groton, MA 01450
Phone (978) 577-0437

120 Boston Rd
Ste 1
Groton, MA 01450
Phone (978) 577-0437

133 Littleton Rd
Ste 201
Westford, MA 01886
Phone (978) 399-0017

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1598850281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON ROAD",
            "address_2": "STE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-577-0437",
            "fax_number": "978-692-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON ROAD",
            "address_2": "STE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-577-0437",
            "fax_number": "978-692-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS WEST, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRICS WEST, P.C.",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-577-0437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751483",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.