Individual provider Active NPI

David S Adelstein, D.O.

  • Obstetrics & Gynecology Physician
  • Wareham, MA
National Provider Identifier
1619994290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
80727 Issued in MA
Practice address
13 Sawyer St
Wareham, MA 02571-2003
Phone
(508) 295-5197
Fax
(508) 291-0579
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 80727 MA Primary

Addresses

Primary practice location

13 Sawyer St
Wareham, MA 02571-2003

Mailing address

13 Sawyer St
Wareham, MA 02571-2003
Phone (508) 295-5289

Other identifiers 6

IdentifierTypeStateIssuer
080727OtherMATUFTS
000000021824OtherMABOSTON HEALTH NET
3144186MedicaidMA
0700807OtherMAUNITED HEALTH CARE
130341OtherMAHARVARD PILGRIM
J 16182OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad OB GYN PC Obstetrics & Gynecology CurrentSince Jul 20, 1995 Accepting new patients
Women's Health Affiliates, Inc. Obstetrics & Gynecology Past Accepting new patients
Bridgewater Goddard Park Medical Associates, Inc. Past Accepting new patients

Locations

106 Main St
Wareham, MA 02571
Phone (508) 295-3900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/638/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619994290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SAWYER ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712003",
            "telephone_number": "508-295-5289",
            "fax_number": "508-291-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SAWYER ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712003",
            "telephone_number": "508-295-5197",
            "fax_number": "508-291-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSTEIN",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "80727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "080727",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON HEALTH NET",
            "identifier": "000000021824",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3144186",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0700807",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "130341",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J 16182",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.