Active NPI
James D O'Holleran, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Peabody, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 217293
- Practice address
- 1 Orthopedic Dr
Peabody, MA 01960-1668 - Phone
- (978) 818-6350
- Fax
- (978) 818-6355
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 217293 | MA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 217293 | MA | Primary |
Addresses
Primary practice location
1 Orthopedic Dr
Peabody, MA 01960-1668
Mailing address
1 Orthopedic Dr
Peabody, MA 01960-1668
Phone (978) 818-6350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468586 | Other | MA | TUFTS |
| J26872 | Other | MA | BCBS |
| 2025167 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Yale University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217293 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine North Orthopaedic Surgery, Inc | Current | Accepting new patients | |
| Sports Medicine North Orthopaedic Surgery, Inc. | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Past | Accepting new patients | |
| The General Hospital Corporation | Past | Accepting new patients |
Locations
30 Tozer Rd
Ste 201
Beverly, MA 01915
Phone (978) 712-9081
1 Wallace Bashaw Way
Ste 3001
Newburyport, MA 01950
Phone (978) 255-3376
1 Orthopedics Dr
Ste 2
Peabody, MA 01960
Phone (978) 818-6493
1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562
Interoperability endpoints
- james.oholleran.1@7605.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Specialist
- Peabody, MA
- NPI 1760423719
-
- Multi-Specialty Clinic/Center
- Gloucester, MA
- NPI 1679168652
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1700864303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ORTHOPEDIC DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6350",
"fax_number": "978-818-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPEDIC DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6350",
"fax_number": "978-818-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HOLLERAN",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MA",
"license": "217293",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MA",
"license": "217293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468586",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J26872",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2025167",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.