Individual provider Active NPI

David Samuel Fefferman, M.D.

  • Gastroenterology Physician
  • Stoneham, MA
National Provider Identifier
1720015928
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
223626 Issued in MA
Practice address
91 Montvale Ave Ste 206
Stoneham, MA 02180-3649
Phone
(781) 665-3380
Fax
(781) 665-8288
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 223626 MA Primary

Addresses

Primary practice location

91 Montvale Ave Ste 206
Stoneham, MA 02180-3649

Mailing address

91 Montvale Ave Ste 206
Stoneham, MA 02180-3649
Phone (781) 665-3380

Other identifiers 5

IdentifierTypeStateIssuer
2108828MedicaidMA
468492OtherMATUFTS HEALTH PLAN
3841156OtherMAAETNA
J28621OtherMABLUE CROSS & BLUE SHIELD
AA34654OtherMAHARVARD PILGRIM

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
I20050603000015 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 9032152897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Health Associates P.C.Group PAC ID 8527017268, 9 clinicians

Practice addresses (Care Compare)

91 Montvale Ave
Suite 206
Stoneham, MA 02180-3649
Phone (781) 518-9053

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
73.22
Promoting interoperability
93
Improvement activities
40
Cost
75.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223626MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Associates P.C. Gastroenterology CurrentSince May 1, 2005 Accepting new patients
Dha Pho-W LLC Gastroenterology Past Accepting new patients
Dha Endoscopy LLC Gastroenterology Past Accepting new patients
Dha Endoscopy LLC Past Accepting new patients

Locations

3 Woodland Rd
Ste 306
Stoneham, MA 02180
Phone (781) 665-3380

91 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-1952

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

91 Montvale Ave
Ste 206
Stoneham, MA 02180
Phone (781) 518-9053

Interoperability endpoints

  • Direct secure messaging: davidfefferman@digestiveh.allscriptsdirect.net
  • Direct secure messaging: dfefferman28627@tuftsmedicine.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 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1720015928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE STE 206",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803649",
            "telephone_number": "781-665-3380",
            "fax_number": "781-665-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE STE 206",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803649",
            "telephone_number": "781-665-3380",
            "fax_number": "781-665-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEFFERMAN",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "223626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108828",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "468492",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3841156",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "J28621",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA34654",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.