Individual provider Active NPI

Phillip D McCrary, MD

  • Obstetrics & Gynecology Physician
  • Wellesley, MA
National Provider Identifier
1861488967
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
368734 Issued in MA
Practice address
30 Washington St
Wellesley, MA 02481-1905
Phone
(781) 263-9115
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 368734 MA Primary

Addresses

Primary practice location

30 Washington St
Wellesley, MA 02481-1905

Mailing address

30 Washington St
Wellesley, MA 02481-1905
Phone (781) 263-9115

Other practice location 1

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7379

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
I20051029000161 MA Practitioner - Obstetrics/Gynecology 6103860952 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
368734MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Dec 24, 2021 Accepting new patients
Nantucket Cottage Hospital CurrentSince Dec 24, 2021 Accepting new patients
Phillip D. McCrary, MD, PC Obstetrics & Gynecology CurrentSince Oct 1, 2012 Accepting new patients
Nantucket Physicians Organization CurrentSince Dec 24, 2021 Accepting new patients

Locations

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

2000 Washington St
Ste 760
Newton Lower Falls, MA 02462
Phone (617) 332-4799

30 Washington St
Wellesley Hills, MA 02481
Phone (781) 263-0033

Interoperability endpoints

  • Direct secure messaging: phillip.mccrary@direct.signature.masshiway.net

Organizations & group practices 5

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1861488967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811905",
            "telephone_number": "781-263-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811905",
            "telephone_number": "781-263-9115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7379",
            "fax_number": "508-941-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "PHILLIP",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "368734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.