Individual provider Active NPI

Abby A Duclos, M.D.

  • Obstetrics & Gynecology Physician
  • Andover, MA
National Provider Identifier
1841267390
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
273735 Issued in MA
Practice address
323 Lowell St Ste 302
Andover, MA 01810-4501
Phone
(978) 475-2731
Fax
(978) 975-2536
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 273735 MA Primary

Addresses

Primary practice location

323 Lowell St Ste 302
Andover, MA 01810-4501

Mailing address

323 Lowell St Ste 302
Andover, MA 01810-4501
Phone (978) 475-2731

Other practice location 1

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3520

Other identifiers 1

IdentifierTypeStateIssuer
006211445MedicaidVA

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
I20180517002757 MA Practitioner - Obstetrics/Gynecology 2365450392 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Rochester School of Medicine and Dentistry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

383 Paradise Rd
Swampscott, MA 01907-2928
Phone (781) 599-2600

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273735MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Grossman MD PC Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Obhg Massachusetts PC Obstetrics & Gynecology CurrentSince Dec 1, 2022 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Obstetrics & Gynecology CurrentSince Feb 17, 2023 Accepting new patients
Andover Obstetrics and Gynecological Associates, PC CurrentSince Jun 1, 2018 Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
Western Virginia OB-GYN Center PC Obstetrics & Gynecology Past Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

565 Turnpike St
North Andover, MA 01845
Phone (978) 681-1212

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

383 Paradise Rd
Swampscott, MA 01907
Phone (781) 599-1745

Interoperability endpoints

  • Direct secure messaging: smith.abby.nsmc@direct.partners.masshiway.net

Organizations & group practices 7

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 2

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1841267390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST STE 302",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104501",
            "telephone_number": "978-475-2731",
            "fax_number": "978-975-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST STE 302",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104501",
            "telephone_number": "978-475-2731",
            "fax_number": "978-975-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Braeburn Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537357",
            "country_code": "US",
            "telephone_number": "540-772-3520",
            "fax_number": "540-772-5975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "ABBY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "273735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006211445",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.