Individual provider Active NPI

Russell Atkin, MD

  • Obstetrics & Gynecology Physician
  • Duxbury, MA
National Provider Identifier
1871729178
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
245106 Issued in MA
Practice address
95 Tremont St
Suite 10
Duxbury, MA 02332-4738
Phone
(781) 934-7592
NPI assigned
Jun 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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 245106 MA Primary

Addresses

Primary practice location

95 Tremont St
Suite 10
Duxbury, MA 02332-4738

Mailing address

36 Cordage Park Cir
Suite 317
Plymouth, MA 02360-7331
Phone (508) 830-2082

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
I20101020000819 MA Practitioner - Obstetrics/Gynecology 3577617836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920

95 Tremont St
Duxbury, MA 02332-4738
Phone (781) 934-9532

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. Obstetrics & Gynecology CurrentSince Oct 1, 2010 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Oct 1, 2010 Accepting new patients
Beth Israel Deaconess Hospital Plymouth, Inc. Past Accepting new patients

Locations

95 Tremont St
Ste 10
Duxbury, MA 02332
Phone (781) 934-0060

95 Tremont St
Ste 5
Duxbury, MA 02332
Phone (781) 934-7292

95 Tremont St
Duxbury, MA 02332
Phone (781) 934-0060

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

36 Cordage Park Cir
Ste 317
Plymouth, MA 02360

Interoperability endpoints

  • Direct secure messaging: ratkin255184@direct.bilh.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1871729178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CORDAGE PARK CIR",
            "address_2": "SUITE 317",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607331",
            "telephone_number": "508-830-2082",
            "fax_number": "508-830-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 TREMONT ST",
            "address_2": "SUITE 10",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324738",
            "telephone_number": "781-934-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKIN",
        "first_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "245106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

Verify at the official NPI Registry.