Active NPI
Dennis R Callen, M.D.
- Family Medicine Physician
- Westport, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48749
- Practice address
- 831 Main Rd
Westport, MA 02790-4315 - Phone
- (508) 636-0613
- Fax
- (508) 636-0616
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
-
- Sleep Disorder Diagnostic Clinic/Center
- Somerset, MA
- NPI 1285956045
-
- Podiatrist
- Fall River, MA
- NPI 1558901710
-
- Ambulatory Surgical Clinic/Center
- North Providence, RI
- NPI 1538875265
-
- Skilled Nursing Facility
- Somerset, MA
- NPI 1992432934
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fairhaven, MA
- NPI 1801990452
Hospice
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prima Care, PC
Practice addresses (Care Compare)
831 Main Rd
Westport, MA 02790-4315
Phone (508) 636-0613
Hospital & facility affiliations
- Bristol Hospice LLC
- Hospice and Palliative Care
- Southcoast Hospitals Group
- Brigham and Women'S Hospital
- Somerset Ridge Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040312000302 | MA | Practitioner - Family Practice | 3072402619 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Somerset Ridge SNF Operations BHC | Past | Accepting new patients |
Locations
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
831 Main Rd
Westport, MA 02790
Phone (508) 636-0613
19 Friendship St
Unit 150
Newport, RI 02840
Phone (401) 848-6042
Interoperability endpoints
- dennis.callen@prima.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48749 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
831 Main Rd
Westport, MA 02790-4315
Mailing address
PO Box 1029
Fall River, MA 02722-1029
Phone (508) 675-7819
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2076667 | Medicaid | MA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2013.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1790787752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1029",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027221029",
"telephone_number": "508-675-7819",
"fax_number": "508-675-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MAIN RD",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027904315",
"telephone_number": "508-636-0613",
"fax_number": "508-636-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLEN",
"first_name": "DENNIS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "48749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2076667",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.