Individual provider Active NPI

George Dickstein, M.D.

  • Gastroenterology Physician
  • Framingham, MA
National Provider Identifier
1720054356
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
74228 Issued in MA
Practice address
475 Franklin St
Suite 110
Framingham, MA 01702-6264
Phone
(508) 620-9200
Fax
(508) 620-6483
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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 74228 MA Primary

Addresses

Primary practice location

475 Franklin St
Suite 110
Framingham, MA 01702-6264

Mailing address

475 Franklin St
Suite 110
Framingham, MA 01702-6264
Phone (508) 620-9200

Other identifiers 1

IdentifierTypeStateIssuer
9785353MedicaidMA

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
I20040203000717 MA Practitioner - Gastroenterology 1153214325 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambridge Public Health CommissionGroup PAC ID 8921910894, 654 clinicians
Gbgastro LLCGroup PAC ID 4587909288, 22 clinicians
Greater Boston GastroenterologyGroup PAC ID 5991789802, 20 clinicians

Practice addresses (Care Compare)

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

475 Franklin St
Suite 110
Framingham, MA 01702-6265
Phone (508) 620-9200

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy145
Upper gastrointestinal (GI) endoscopy for acid reflux258

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Feb 26, 2024 Accepting new patients
Gbgastro LLC Current Accepting new patients
Gbgastro LLC Gastroenterology CurrentSince Jan 1, 2019 Accepting new patients
Cambridge Public Health Commission CurrentSince Nov 22, 2024 Accepting new patients
Cambridge Public Health Commission CurrentSince Nov 22, 2024 Accepting new patients
Greater Boston Gastroenterology Gastroenterology CurrentSince Jan 1, 2004 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

475 Franklin St
Ste 110
Framingham, MA 01702
Phone (508) 620-9200

20 Hope Ave
Ste G07
Waltham, MA 02453
Phone (781) 894-1199

Interoperability endpoints

  • Direct secure messaging: gdickstein89351@tuftsmedicine.direct-ci.com
  • Direct secure messaging: dickstein.george.bwh@direct.partners.masshiway.net
  • Direct secure messaging: georgedickstein@gbg.allscriptsdirect.net
  • Direct secure messaging: gdickstein122711@direct.challiance.masshiway.net

Organizations & group practices 7

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 4

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1720054356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSTEIN",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "74228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785353",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.