Active NPI
Frank X Pedlow Jr., M.D.
- Orthopaedic Surgery of the Spine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 79694
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3127079 | Medicaid | MA |
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
Enrollment records 1
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 Inc
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
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 55 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 79694 | MA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank X. Pedlow Jr, MD PC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1073501649
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.