Individual provider Active NPI

Dennis R Callen, M.D.

  • Family Medicine Physician
  • Westport, MA
National Provider Identifier
1790787752
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48749 Issued in MA
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.

Hospital & facility affiliations 5

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

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 222 clinicians

Practice addresses (Care Compare)

831 Main Rd
Westport, MA 02790-4315
Phone (508) 636-0613

Hospital & facility affiliations

  • Bristol Hospice LLC Hospice, Fall River, MA, CCN 221612
  • Hospice and Palliative Care Hospice, Fairhaven, MA, CCN 221536
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Somerset Ridge Center Nursing home, Somerset, MA, CCN 225747

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
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

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Dec 1, 2008 Accepting new patients
Prima Care, PC CurrentSince Dec 1, 2008 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

  • Direct secure messaging: dennis.callen@prima.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48749 MA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
2076667MedicaidMA

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

Verify at the official NPI Registry.