Individual provider Active NPI

Myles David Webster, MD

  • Pediatrics Physician
  • New Bedford, MA
National Provider Identifier
1811161532
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
251310 Issued in MA
Practice address
101 Page Street
St Luke'S Hospital Medical Staff Office
New Bedford, MA 02740
Phone
(508) 997-1515
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 251310 MA Primary

Addresses

Primary practice location

101 Page Street
St Luke'S Hospital Medical Staff Office
New Bedford, MA 02740

Mailing address

101 Page Street
St Luke'S Hospital Medical Staff Office
New Bedford, MA 02740

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
I20121127000454 MA Practitioner - Pediatric Medicine 9638320591 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pediatric Associates, Inc Pediatrics CurrentSince Sep 3, 2012 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Pediatric Health Care Associates PC Pediatrics Past Accepting new patients

Locations

300 Longwood Ave
Ofc
Boston, MA 02115
Phone (617) 355-8083

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

101 Page St
Ofc
New Bedford, MA 02740

10 Centennial Dr
Peabody, MA 01960
Phone (978) 535-1110

10 Centennial Dr
Ste 104
Peabody, MA 01960
Phone (978) 535-1110

Interoperability endpoints

  • Direct secure messaging: mwebster7105@direct.chppoc.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1811161532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PAGE STREET",
            "address_2": "ST LUKE'S HOSPITAL MEDICAL STAFF OFFICE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PAGE STREET",
            "address_2": "ST LUKE'S HOSPITAL MEDICAL STAFF OFFICE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-997-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MYLES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "251310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.