Individual provider Active NPI

Adam T Rodman, FNP-BC

  • Physician Assistant
  • Dedham, MA
National Provider Identifier
1780681536
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1496 Issued in MA
Practice address
983 Boston-Providence Turnpike
Dedham, MA 02026
Phone
(781) 819-6400
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1496 MA Primary
Physician Assistant 363A00000X PA00283 RI

Addresses

Primary practice location

983 Boston-Providence Turnpike
Dedham, MA 02026

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other identifiers 2

IdentifierTypeStateIssuer
PA095474OtherMAMEDICARE UPIN
PA095474OtherRIMEDICARE UPIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090505000218 MA Practitioner - Physician Assistant 9638120066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Lynn Urgent Care LLCGroup PAC ID 1951732825, 12 clinicians

Practice addresses (Care Compare)

19 Pleasant St
Woburn, MA 01801-4124
Phone (781) 404-6172

776 Western Ave
Lynn, MA 01905-2408
Phone (781) 281-7081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1496MAMDOccupational Therapy Assistant
PA1496MAMDPhysician Assistant
PA00283RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Urgent Care Professionals PC CurrentSince Feb 1, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 23, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 23, 2023 Accepting new patients
Patriot Urgent Care Professionals, PC CurrentSince Feb 1, 2025 Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

1210 Boylston St
Chestnut Hill, MA 02467
Phone (617) 608-3215

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

86 Taunton St
Plainville, MA 02762
Phone (508) 928-5211

1019 Trapelo Rd
Waltham, MA 02452
Phone (781) 736-1800

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

111 New Hampshire Ave
Portsmouth, NH 03801

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: adam.rodman.1@29271.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1780681536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 BOSTON-PROVIDENCE TURNPIKE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "781-819-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "ADAM",
        "middle_name": "T",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA1496",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "PA095474",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "PA095474",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.