Individual provider Active NPI

David B Earle, MD

  • Surgery Physician
  • Springfield, MA
National Provider Identifier
1780779934
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
158977 Issued in MA
Practice address
2 Medical Center Dr
Suite 308
Springfield, MA 01199-1619
Phone
(413) 794-2670
Fax
(413) 794-2593
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 158977 MA Primary

Addresses

Primary practice location

2 Medical Center Dr
Suite 308
Springfield, MA 01199-1619

Mailing address

20 Research PL
Ste 130
North Chelmsford, MA 01863-2455
Phone (413) 794-5700

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
I20060407000009 MA Practitioner - General Surgery 7618986308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

73 Princeton St
Suite 207a
North Chelmsford, MA 01863-1687
Phone (978) 893-7662

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New England Hernia Center LLC Surgery CurrentSince Mar 21, 2018 Accepting new patients
Martha'S Vineyard Hospital, Inc. Past Accepting new patients
Stony Brook Primary Care LLC PastSince Jul 1, 2011 Accepting new patients

Locations

73 Princeton St
Ste 207A
North Chelmsford, MA 01863
Phone (978) 893-7662

20 Research Pl
Ste 130
North Chelmsford, MA 01863
Phone (978) 446-9850

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5702a1ef-1ffa-4749-8a59-5b2ca3bf45eb/
  • FHIR API: https://api.platform.athenahealth.com/1850/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1780779934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "STE 130",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE 308",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991619",
            "telephone_number": "413-794-2670",
            "fax_number": "413-794-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "158977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.