Individual provider Active NPI

Daniel S. Mishkin, M.D.

  • Gastroenterology Physician
  • Weymouth, MA
National Provider Identifier
1801822564
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
220601 Issued in MA
Practice address
90 Libbey Industrial Pkwy Ste 101
Weymouth, MA 02189-3130
Phone
(617) 421-1091
Fax
(781) 682-0611
NPI assigned
Jun 24, 2006
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 220601 MA Primary

Addresses

Primary practice location

90 Libbey Industrial Pkwy Ste 101
Weymouth, MA 02189-3130

Mailing address

90 Libbey Industrial Pkwy Ste 101
Weymouth, MA 02189-3130
Phone (617) 421-1091

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmishkin21049@direct.atrius.masshiway.net

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
I20040902000921 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 4981670858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
McGill University, Faculty of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

420 Libbey Industrial Pkwy
Weymouth, MA 02189-3134
Phone (781) 331-9880

90 Libbey Industrial Pkwy
Suite 201
Weymouth, MA 02189-3157
Phone (781) 682-0606

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Upper gastrointestinal (GI) endoscopy for acid reflux81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220601MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Gastroenterology CurrentSince May 1, 2015 Accepting new patients
Atrius Health, Inc. Gastroenterology Current Accepting new patients
Atrius Health, Inc. PastSince Mar 4, 2021 Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

500 Congress St
Ste 3C
Quincy, MA 02169
Phone (617) 471-0033

90 Libbey Park
Ste 201
Weymouth, MA 02189
Phone (781) 331-1212

Interoperability endpoints

  • Direct secure messaging: dmishkin21049@direct.atrius.masshiway.net
  • Direct secure messaging: dmishkin448831@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1801822564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY STE 101",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893130",
            "telephone_number": "617-421-1091",
            "fax_number": "781-682-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY STE 101",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893130",
            "telephone_number": "617-421-1091",
            "fax_number": "781-682-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHKIN",
        "first_name": "DANIEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "220601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmishkin21049@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "90 Libbey Industrial Pkwy Ste 101",
            "city": "Weymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021893130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.