Evan K Altman, DO
Individual provider Active NPI Family Medicine Physician · Palmer, MA
NPI 1760750855 · NPPES record last updated Jul 28, 2021
Key facts
- NPI
- 1760750855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 283307 (MA)
- Practice address
- 40 Wright St
Palmer, MA 01069-1138 - Phone
- (413) 370-7000
- NPI assigned
- Dec 5, 2011
- Reactivated
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mass General Brigham Medical Group Western Massachusetts Inc
Practice addresses (Care Compare)
10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441
Hospital & facility affiliations
- Beacon Hospice, an Amyedisys Company
- Cooley Dickinson Hospital Inc,the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200909001377 | MA | Practitioner - Family Practice |
4688918352 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Inpatient Medical Associates Inc. | Family Medicine | Current |
Accepting new patients |
| Mass General Brigham Medical Group Western Massachusetts Inc | Family Medicine | Current |
Accepting new patients |
| Cooley Dickinson Hospital Inc | Past | Accepting new patients |
Locations
17 Research Dr
Amherst, MA 01002
Phone (413) 549-8400
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 283307 | MA | Yes |
Addresses
Primary practice location
40 Wright St
Palmer, MA 01069-1138
Mailing address
280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
Other providers in Palmer, MA
- Daniel Glen Albrecht
- Kayla M Aliengena
- Align Hypnosis, Inc.
- Jeffrey C Allard
- Dawn Marie Allen
- Amandeep Kaur DDS P.C
- Marie E Armentano
- Jennifer Lynn Badalamenti
- Alanna Bassett
- Baystate Wing Hospital Corporation
All providers in Palmer, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.