Individual provider Active NPI

David M Vernick, M.D.

  • Otolaryngology Physician
  • Chestnut Hill, MA
National Provider Identifier
1710926803
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
49955 Issued in MA
Practice address
1244 Boylston St
#303
Chestnut Hill, MA 02467-2116
Phone
(617) 383-6800
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 49955 MA Primary

Addresses

Primary practice location

1244 Boylston St
#303
Chestnut Hill, MA 02467-2116

Mailing address

1244 Boylston St
#303
Chestnut Hill, MA 02467-2116
Phone (617) 383-6800

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
I20040611000774 MA Practitioner - Otolaryngology 4183537806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Johns Hopkins University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vernick and Gopal,LLCGroup PAC ID 9537142302, 5 clinicians

Practice addresses (Care Compare)

1244 Boylston St
Suite 303
Chestnut Hill, MA 02467-2115
Phone (617) 383-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49955MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernick & Gopal,LLC Otolaryngology CurrentSince Mar 1, 2004 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc PastSince Apr 1, 2005 Accepting new patients
Cambridge Family Health North PastSince Mar 1, 2004 Accepting new patients
Harvardmedicalfacultyphysicians at Bethisraeldeaconessmedicalcenter in Past Accepting new patients

Locations

1244 Boylston St
Chestnut Hill, MA 02467
Phone (617) 383-6800

1244 Boylston St
Ste 303
Chestnut Hill, MA 02467
Phone (617) 383-6800

Interoperability endpoints

  • Direct secure messaging: david.vernick.1@21429.direct.athenahealth.com
  • Direct secure messaging: david.vernick@857.chartlogic.direct-ci.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.

Hospital & facility affiliations 5

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1710926803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "#303",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-383-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "#303",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-383-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNICK",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "49955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.