Active NPI
Daniel Michael Leary, PA-C
- Physician Assistant
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA7337
- Practice address
- 3455 Main St Ste 5
Springfield, MA 01107-1142 - Phone
- (413) 733-9600
- Fax
- (413) 732-6534
- NPI assigned
- Mar 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01127 | RI | |
| Physician Assistant | 363A00000X | PA7337 | MA | Primary |
Addresses
Primary practice location
3455 Main St Ste 5
Springfield, MA 01107-1142
Mailing address
3455 Main St Ste 5
Springfield, MA 01107-1142
Phone (413) 788-0532
Other practice location 1
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2520
Other practice location 2
211 Park St
Attleboro, MA 02703-3137
Phone (508) 222-5200
Other practice location 3
758 Eddy St Ste 300
Providence, RI 02903-4940
Phone (401) 236-7258
Other practice location 4
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
368 Faunce Corner Rd
Dartmouth, MA 02747-1257
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plymouth Dermatology Specialists PLLC | Physician Assistant | Past | Accepting new patients |
| Newport County Medical Treatment Office | Past | Accepting new patients |
Interoperability endpoints
- dleary@directaddress.net
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.
-
- Dermatology Physician
- Dartmouth, MA
- NPI 1942360003
-
- Dermatology Physician
- Plymouth, MA
- NPI 1144362179
-
- Dermatology Physician
- Plymouth, MA
- NPI 1417741414
Physician Assistant
-
- Emergency Medicine Physician
- Middletown, RI
- NPI 1326190273
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1740748235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 MAIN ST STE 5",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071142",
"telephone_number": "413-788-0532",
"fax_number": "413-562-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 MAIN ST STE 5",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071142",
"telephone_number": "413-733-9600",
"fax_number": "413-732-6534"
}
],
"practiceLocations": [
{
"address_1": "125 Metro Center Blvd Ste 2000",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861785",
"country_code": "US",
"telephone_number": "401-432-2520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033137",
"country_code": "US",
"telephone_number": "508-222-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "758 Eddy St Ste 300",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034940",
"country_code": "US",
"telephone_number": "401-236-7258",
"fax_number": "774-465-0469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 High Service Ave",
"address_purpose": "LOCATION",
"city": "North Providence",
"state": "RI",
"postal_code": "029045113",
"country_code": "US",
"telephone_number": "401-456-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEARY",
"first_name": "DANIEL",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-04",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01127",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA7337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.