Active NPI
Daniel Seth Blander, MD
- Urology Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 234183
- Practice address
- 75 Herrick St
Suite 219
Beverly, MA 01915-5903 - Phone
- (978) 927-0714
- Fax
- (978) 927-9135
- NPI assigned
- Nov 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 234183 | MA | Primary |
Addresses
Primary practice location
75 Herrick St
Suite 219
Beverly, MA 01915-5903
Mailing address
75 Herrick St
Suite 219
Beverly, MA 01915-5903
Phone (978) 927-0714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G857300 | Medicaid | CA |
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
- Urology
- Education
- Boston University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
298 Washington St
Gloucester, MA 01930-4832
Phone (978) 283-2726
40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8451
77 Herrick St
Suite 101
Beverly, MA 01915-2734
Phone (978) 927-4110
85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700
Hospital & facility affiliations
- Northeast Hospital Corporation
- Lahey Hospital & Medical Center, Burlington
- Anna Jaques Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Urology | Current | Accepting new patients |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients |
Locations
75 Herrick St
Ste 219
Beverly, MA 01915
Phone (978) 927-0714
77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115
75 Herrick St
Beverly, MA 01915
Phone (978) 921-0944
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
480 Maple St
Danvers, MA 01923
Phone (978) 304-8380
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
Interoperability endpoints
- dblander22983@direct.bilh.masshiway.net
- dblandermd69454@direct.atrius.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1720159627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 HERRICK ST",
"address_2": "SUITE 219",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155903",
"telephone_number": "978-927-0714",
"fax_number": "978-927-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HERRICK ST",
"address_2": "SUITE 219",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155903",
"telephone_number": "978-927-0714",
"fax_number": "978-927-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDER",
"first_name": "DANIEL",
"middle_name": "SETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "234183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G857300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.