Individual provider Active NPI

Darin S Gogstetter, MD

  • Specialist
  • Quincy, MA
National Provider Identifier
1730194226
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
221377 Issued in MA
Practice address
36 Adams St
Quincy, MA 02169-2002
Phone
(617) 773-9805
Fax
(617) 472-5400
NPI assigned
Jul 31, 2006
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 221377 MA Primary

Addresses

Primary practice location

36 Adams St
Quincy, MA 02169-2002

Mailing address

36 Adams St
Quincy, MA 02169-2002
Phone (617) 773-9805

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
I20040907000097 MA Practitioner - Dermatology 5991771529 Practice locations: Quincy, MA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 Adams St
Quincy, MA 02169-2087
Phone (617) 773-0711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of tissue1-10
Removal of skin lesions1034
Removal or shaving of skin growth1-10
Skin biopsy456

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Street Dermatology Assoc, PC PastSince Apr 1, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1730194226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692002",
            "telephone_number": "617-773-9805",
            "fax_number": "617-472-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692002",
            "telephone_number": "617-773-9805",
            "fax_number": "617-472-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGSTETTER",
        "first_name": "DARIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "221377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.