Individual provider Active NPI

Frank X Pedlow Jr., M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Boston, MA
National Provider Identifier
1841292414
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
79694 Issued in MA
Practice address
30 Lancaster St
2ND Floor
Boston, MA 02114-1704
Phone
(617) 227-9300
Fax
(617) 227-3800
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 79694 MA Primary

Addresses

Primary practice location

30 Lancaster St
2ND Floor
Boston, MA 02114-1704

Mailing address

PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071

Other identifiers 1

IdentifierTypeStateIssuer
3127079MedicaidMA

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
I20050729000170 MA Practitioner - Orthopedic Surgery 5496783607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Frank X Pedlow Jr MD PCGroup PAC ID 4385689447, 2 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

30 Lancaster St
FL 2
Boston, MA 02114-1709
Phone (617) 227-9300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79694MAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank X. Pedlow Jr, MD PC CurrentSince Nov 1, 2002 Accepting new patients
The General Hospital Corporation Past Accepting new patients

Locations

30 Lancaster St
Fl 2
Boston, MA 02114
Phone (617) 227-9300

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: pedlow.frank.mgh@direct.partners.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.

Hospital & facility affiliations 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1841292414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020430086",
            "telephone_number": "781-749-9071",
            "fax_number": "781-749-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "address_2": "2ND FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-227-9300",
            "fax_number": "617-227-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDLOW",
        "first_name": "FRANK",
        "middle_name": "X",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "79694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127079",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.