Individual provider Active NPI

Stephen Morgan, MD

  • Pediatrics Physician
  • Salem, MA
National Provider Identifier
1962469379
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
210294 Issued in MA
Practice address
72 Highland Avenue
Pediatric Associates of Greater Salem
Salem, MA 01970
Phone
(978) 745-3050
Fax
(978) 745-7014
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 210294 MA Primary

Addresses

Primary practice location

72 Highland Avenue
Pediatric Associates of Greater Salem
Salem, MA 01970

Mailing address

72 Highland Avenue
Pediatric Associates of Greater Salem
Salem, MA 01970
Phone (978) 745-3050

Other identifiers 3

IdentifierTypeStateIssuer
210294OtherTUFTS
0157791MedicaidMA
J23708OtherBS

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
I20080414000008 MA Practitioner - Pediatric Medicine 4082791280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Massachusetts Medical School, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric Associates of Greater Salem IncGroup PAC ID 4284648270, 11 clinicians

Practice addresses (Care Compare)

30 Tozer Rd
Beverly, MA 01915-5502
Phone (978) 745-3050

30 Tozer Rd
Beverly, MA 01915-5510

376 Boston St
FL 2
Topsfield, MA 01983-1544
Phone (978) 745-3050

84 Highland Ave
Suite 101
Salem, MA 01970-2732
Phone (978) 745-3050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc Pediatrics CurrentSince Nov 1, 2011 Accepting new patients
Pediatric Associates of Greater Salem, Inc Pediatrics CurrentSince Oct 1, 2001 Accepting new patients

Locations

30 Tozer Rd
Beverly, MA 01915
Phone (978) 712-1100

30 Tozer Rd
Fl 1
Beverly, MA 01915

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
#6
Salem, MA 01970
Phone (978) 354-3314

84 Highland Ave
Ste 310
Salem, MA 01970
Phone (781) 420-1845

84 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 745-3050

Interoperability endpoints

  • Direct secure messaging: stephen.morgan.1@2804.direct.athenahealth.com
  • Direct secure messaging: morgan.stephen.pags@direct.partners.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1962469379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVENUE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVENUE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "210294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "210294",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157791",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "J23708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.