Individual provider Active NPI

Adam Jared Stoller, MD

  • Anesthesiology Physician
  • Weymouth, MA
National Provider Identifier
1699913178
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
BB5078654-AS-143-AN Issued in MA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110083883AMedicaidMA
AA188037OtherMAHARVARD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023002329 CA Practitioner - Anesthesiology 6103970124 Reassigns benefits to 3 organizations

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
Remedy Medical GroupGroup PAC ID 7618166091, 12 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BB5078654-AS-143-ANMAMDAnesthesiology Physician
BB5078654-AS143-ANMAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Associates Medical Group Inc Anesthesiology CurrentSince Apr 13, 2015 Accepting new patients
East Bay Anesthesiology Medical Group, Inc Anesthesiology CurrentSince Sep 1, 2013 Accepting new patients
Remedy Medical Group CurrentSince May 6, 2024 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 PastSince Sep 11, 2006 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.