Active NPI
Adam Jared Stoller, MD
- Anesthesiology Physician
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- BB5078654-AS-143-AN
- Practice address
- 163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118 - Phone
- (781) 337-4224
- Fax
- (781) 335-0429
- NPI assigned
- Jan 22, 2009
- Last updated
- Apr 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | BB5078654-AS-143-AN | MA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | BB5078654-AS143-AN | MA |
Addresses
Primary practice location
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Mailing address
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Phone (781) 337-4224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110083883A | Medicaid | MA | |
| AA188037 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of California, Davis School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Ofarrell St
Suite 190
San Mateo, CA 94403-1372
Phone (650) 306-9490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BB5078654-AS-143-AN | MA | MD | Anesthesiology Physician |
| BB5078654-AS143-AN | MA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Care Associates Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| East Bay Anesthesiology Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
| Remedy Medical Group | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| South Shore Anesthesia Associates, Inc | Anesthesiology | Past | Accepting new patients |
| Sequoia Health Services | Past | Accepting new patients | |
| Lucile Salter Packard Children's Hospital at Stanford | Past | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Past | Accepting new patients | |
| South Shore Anesthesia Associates, Inc. | Anesthesiology | Past | Accepting new patients |
| Robert D Verrette, DPM,Inc | Past | Accepting new patients |
Locations
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
901 Campus Dr
Ste 102
Daly City, CA 94015
Phone (650) 991-2000
3300 Webster St
Ste 601
Oakland, CA 94609
Phone (510) 272-9610
350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000
1330 Tara Hills Dr
Ste E105
Pinole, CA 94564
Phone (650) 667-2322
490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177
490 Post St
Ste 901
San Francisco, CA 94102
Phone (415) 421-2256
2365 Quimby Rd
Ste 260
San Jose, CA 95122
Phone (408) 246-9926
1900 Ofarrell St
Ste 190
San Mateo, CA 94403
Phone 6503069490 ext. 119
Interoperability endpoints
- astoller177050@hisp.ehr.sutterhealth.org
Organizations & group practices 10
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.
-
- Interventional Pain Medicine Physician
- San Mateo, CA
- NPI 1952601353
-
- Anesthesiology Physician
- Burlingame, CA
- NPI 1215985023
-
- Anesthesiology Physician
- Oakland, CA
- NPI 1649226242
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1215066394
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1770530388
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
dba Foot & Ankle Medicine & Surgery
- Foot & Ankle Surgery Podiatrist
- Los Gatos, CA
- NPI 1780777607
-
dba Sequoia Hospital
- General Acute Care Hospital
- Redwood City, CA
- NPI 1235172057
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1699913178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLER",
"first_name": "ADAM",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "BB5078654-AS-143-AN",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MA",
"license": "BB5078654-AS143-AN",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110083883A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA188037",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.