Individual provider Active NPI

Philip J Dombrowski, M.D.

  • Vascular & Interventional Radiology Physician
  • Hyannis, MA
National Provider Identifier
1679672794
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
54472 Issued in MA
Practice address
25 Main St
Hyannis, MA 02601-3129
Phone
(508) 778-1829
Fax
(508) 778-0113
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 54472 MA Primary

Addresses

Primary practice location

25 Main St
Hyannis, MA 02601-3129

Mailing address

25 Main St
Hyannis, MA 02601-3129
Phone (508) 778-1829

Other identifiers 13

IdentifierTypeStateIssuer
1600054OtherMAUNITED HEALTHCARE
2727552001OtherMACIGNA
1679672794OtherMANETWORK HEALTH
6199097MedicaidMA
1679672794OtherMAUNICARE
761050OtherMATUFTS
J04892OtherMABLUE CROSS BLUE SHIELD
2948032OtherMAAETNA
000000030592OtherMABOSTON MEDICAL CENTER
940000308OtherMAMEDICARE ID
11080515OtherMACAQH
240569OtherMAHARVARD PILGRIM
1679672794OtherMAGREAT WEST HEALTHCARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000408 MA Practitioner - Diagnostic Radiology 5799731139 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Leg revascularization (restoring blood flow)62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54472MAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Cape Cod Hospital CurrentSince Aug 26, 2012 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Physicians of Falmouth Hospital CurrentSince Jun 1, 2012 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Cape Cod Healthcare, Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

90 Ter Heun Dr
#300
Falmouth, MA 02540
Phone (508) 540-0604

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

90 Ter Heun Dr
Ste 300
Falmouth, MA 02540
Phone (508) 540-0604

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

25 Main St
Hyannis, MA 02601
Phone (508) 540-0604

86 Ashley Ave
West Springfield, MA 01089
Phone (413) 693-2852

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: pdombrowski11703@direct.capecodhealthcare.masshiway.net

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1679672794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013129",
            "telephone_number": "508-778-1829",
            "fax_number": "508-778-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013129",
            "telephone_number": "508-778-1829",
            "fax_number": "508-778-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "PHILIP",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "54472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1600054",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2727552001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "1679672794",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6199097",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "1679672794",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "761050",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J04892",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2948032",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "000000030592",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "940000308",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11080515",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "240569",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "1679672794",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.