NPIMap

Individual provider Active NPI

Adam Thomas Tyson, M.D.

  • Urology Physician
  • Springfield, MA
National Provider Identifier
1669670584
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
251039 Issued in MA
Practice address
3640 Main St
Suite 103
Springfield, MA 01107-1145
Phone
(413) 785-5321
Fax
(413) 731-7130
NPI assigned
Jul 3, 2007
Last updated
Aug 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 251039 MA Primary

Addresses

Primary practice location

3640 Main St
Suite 103
Springfield, MA 01107-1145

Mailing address

3640 Main St
Ste 103
Springfield, MA 01107-1139
Phone (413) 785-5321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130116000076 MA Practitioner - Urology 6507019916 Reassigns benefits to 1 organization
I20210917001230 CT Practitioner - Urology 6507019916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group of Western New England, P.C.Group PAC ID 9436120847, 12 clinicians

Practice addresses (Care Compare)

151 Hazard Ave
Suite 9
Enfield, CT 06082-4588
Phone (413) 785-5321

3640 Main St
Suite 103
Springfield, MA 01107-1139
Phone (413) 785-5321

61 Locust St
Northampton, MA 01060-2546
Phone 41378553216224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251039MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group of Western New England, P.C. Urology CurrentSince Sep 4, 2012 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

151 Hazard Ave
Ste 9
Enfield, CT 06082
Phone (413) 785-5321

61 Locust St
Northampton, MA 01060
Phone (413) 584-2303

3640 Main St
Ste 103
Springfield, MA 01107
Phone (413) 785-5321

Interoperability endpoints

  • Direct secure messaging: adamtyson@ugwne.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1669670584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "STE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071139",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "ADAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "251039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.