NPIMap

Individual provider Active NPI

Daniel F. Driscoll, M.D.

  • Internal Medicine Physician
  • Milton, MA
National Provider Identifier
1942290853
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53967 Issued in MA
Practice address
475 Adams St
Milton, MA 02186
Phone
(617) 698-1202
Fax
(617) 364-7363
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 53967 MA
Internal Medicine Physician 207R00000X 53967 MA Primary

Addresses

Primary practice location

475 Adams St
Milton, MA 02186

Mailing address

1690 Crown Colony Dr
Quincy, MA 02169-0913
Phone (857) 403-4600

Other identifiers 1

IdentifierTypeStateIssuer
3001521MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000187 MA Practitioner - Internal Medicine 1759369721 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tufts Medical Center Community Care IncGroup PAC ID 4981915659, 21 clinicians

Practice addresses (Care Compare)

1690 Crown Colony Dr
Quincy, MA 02169-0913
Phone (857) 403-4600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Group, Inc CurrentSince Jun 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Pratt Medical Group, Inc Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Tufts Medical Center Community Care, Inc Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Carney Medical Group Past Accepting new patients
Southeast Anesthesia Assoc Past Accepting new patients
Boston Medical Group, PC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

325 Wood Rd
Ste 210
Braintree, MA 02184
Phone (781) 356-3336

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

2100 Dorchester Ave
Fl 7
Dorchestr Ctr, MA 02124
Phone (617) 296-4012

695 Truman Hwy
Ste 209
Hyde Park, MA 02136
Phone (617) 333-0400

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

1690 Crown Colony Dr
Quincy, MA 02169
Phone (781) 237-3395

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: ddriscoll29119@tuftsmedicine.direct-ci.com

Organizations & group practices 8

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1942290853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 CROWN COLONY DR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690913",
            "telephone_number": "857-403-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 ADAMS ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-698-1202",
            "fax_number": "617-364-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "DANIEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "53967",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "53967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001521",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.