Individual provider Active NPI

David S. Pladziewicz, MD MBA

  • Cardiovascular Disease Physician
  • Medford, MA
National Provider Identifier
1710950449
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
70600 Issued in MA
Practice address
170 Governors Ave
Medford, MA 02155-1643
Phone
(781) 395-4909
Fax
(781) 395-5081
NPI assigned
Feb 13, 2006
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 70600 MA Primary

Addresses

Primary practice location

170 Governors Ave
Medford, MA 02155-1643

Mailing address

137 Main Street
Medford, MA 02155
Phone (781) 395-4909

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
I20060403000762 MA Practitioner - Cardiovascular Disease (Cardiology) 5092774380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
Mystic Medical Group, Inc. PastSince Jan 15, 2002 Accepting new patients

Locations

137 Main St
Medford, MA 02155
Phone (781) 395-4761

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

170 Governors Ave
Fl 2
Medford, MA 02155
Phone (781) 395-4909

Interoperability endpoints

  • Direct secure messaging: dpladziewicz28866@tuftsmedicine.direct-ci.com
  • Direct secure messaging: pladziewicz.david.mcard@direct.partners.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1710950449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAIN STREET",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-395-4909",
            "fax_number": "781-395-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-395-4909",
            "fax_number": "781-395-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLADZIEWICZ",
        "first_name": "DAVID",
        "middle_name": "S.",
        "credential": "MD MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "70600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.