NPIMap

Organization Active NPI

Martha'S Vineyard Hospital

  • Obstetrics & Gynecology Physician
  • Oak Bluffs, MA
National Provider Identifier
1962465500
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARTHA'S VINEYARD HOSPITAL
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone
(508) 684-4500
Fax
(508) 684-4502
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Vincent T McDermott
Title
SVP, Chief Financial Officer
Phone
(617) 243-6381

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X MA Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X MA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X MA
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X MA

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557-1406

Mailing address

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone (508) 684-4500

Other identifiers 1

IdentifierTypeStateIssuer
9747231MedicaidMA

Other names 1

  • Martha's Vineyard Hospital Physician Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000589 MA Part B Supplier - Clinic/Group Practice 9931166113 Receives reassigned benefits from 269 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oak Bluffs, MA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2440 Samaritan Dr
San Jose, CA 95124

55 Fruit St
#62
Boston, MA 02114
Phone (617) 724-0288

55 Fruit St
#B62102
Boston, MA 02114

1 Hospital Rd
#1477
Oak Bluffs, MA 02557

Interoperability endpoints

  • Direct secure messaging: ryan.aubrey.mvh@direct.partners.masshiway.net
  • Direct secure messaging: leport.nancy.mvh@direct.partners.masshiway.net
  • Direct secure messaging: amaral.matias.mvh@direct.partners.masshiway.net
  • Direct secure messaging: schanbacher.carl.mvh@direct.partners.masshiway.net
  • Direct secure messaging: page.michelle.mvh@direct.partners.masshiway.net
  • Direct secure messaging: montilla.richard.mvh@direct.partners.masshiway.net
  • Direct secure messaging: tsai.timothy.mvh@direct.partners.masshiway.net
  • Direct secure messaging: walsh.eric.mvh@direct.partners.masshiway.net
  • Direct secure messaging: regan.joseph.mvh@direct.partners.masshiway.net
  • Direct secure messaging: smotrich.gary.mvh@direct.partners.masshiway.net
  • Direct secure messaging: orlov.michail.mvh@direct.partners.masshiway.net
  • Direct secure messaging: friedman.katherine.mvh@direct.partners.masshiway.net
  • Direct secure messaging: williams.karen.mvh@direct.partners.masshiway.net
  • Direct secure messaging: ko.stephen.mvh@direct.partners.masshiway.net
  • Direct secure messaging: nannes.caleb.mvh@direct.partners.masshiway.net
  • Direct secure messaging: stewart.linda.mvh@direct.partners.masshiway.net
  • Direct secure messaging: moriarty.elizabeth.mvh@direct.partners.masshiway.net
  • Direct secure messaging: dipaolowhelan.courtney.mvh@direct.partners.masshiway.net
  • Direct secure messaging: haveran.liam.mvh@direct.partners.masshiway.net
  • Direct secure messaging: nieder.henry.mvh@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1962465500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-684-4500",
            "fax_number": "508-684-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-684-4500",
            "fax_number": "508-684-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S VINEYARD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-243-6381"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9747231",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha's Vineyard Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martha's Vineyard Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Bluffs, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.