Samuel H Doppelt, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

42986 Issued in MA

Practice address

1493 Cambridge St
1St Floor Cambridge Hospital Orthopaedics
Cambridge, MA 02139-1047

Phone

(616) 766-5156

Fax

(617) 726-8522

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1659443430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "address_2": "1ST FLOOR CAMBRIDGE HOSPITAL ORTHOPAEDICS",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "616-766-5156",
            "fax_number": "617-726-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPPELT",
        "first_name": "SAMUEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "42986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "702039",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067749",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M09894",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Bradway Donnelly, MPT, DPT, CCM
• Miriam Denise Donner
• Amy Christine Donohue, MS, CCC-SLP
• Maura A Donovan, RD, LDN, CPT
• Patrick James Doody, D.C.
• Samyukta Dore, MD MPH
• Chris Dorismond
• Yonina Dorph, PSY.D.
• Michelle Dorrell, M.D.
• Herbert J Dorris, DMD

• Orthopaedic Surgery Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.