Active NPI
Patrick B O'Neal, M.D.
- Surgery Physician
- Boston, MA
National Provider Identifier
1972679785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 229489
- Practice address
- 1400 VFW Pkwy
Boston, MA 02132-4927 - Phone
- (617) 650-0946
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 229489 | MA | Primary |
Addresses
Primary practice location
1400 VFW Pkwy
Boston, MA 02132-4927
Mailing address
3 Regent Cir
Apt# 1
Jamaica Plain, MA 02130-4027
Phone (617) 632-9236
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151118000711 | MA | Order and Referring Only - General Surgery | 0042335937 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229489 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1972679785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 REGENT CIR",
"address_2": "APT# 1",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304027",
"telephone_number": "617-632-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "617-650-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "PATRICK",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "229489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.