NPIMap

Individual provider Active NPI

David M Driscoll, DO

  • Internal Medicine Physician
  • Beverly, MA
National Provider Identifier
1992878003
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
152058 Issued in MA
Practice address
30 Tozer Rd
Beverly, MA 01915-5510
Phone
(978) 712-1100
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 152058 MA
Internal Medicine Physician 207R00000X 152058 MA Primary

Addresses

Primary practice location

30 Tozer Rd
Beverly, MA 01915-5510

Mailing address

30 Tozer Rd
Beverly, MA 01915-5510
Phone (978) 712-1100

Other identifiers 2

IdentifierTypeStateIssuer
3206670MedicaidMA
J17785OtherBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddriscollmd60927@direct.atrius.masshiway.net

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
I20061204000356 MA Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 6608875547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth Israel Lahey Health Primary Care, IncGroup PAC ID 7719291434, 351 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Beth Israel Lahey Health at Home Hospice, Danvers, MA, CCN 221541
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152058MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Nov 1, 2024 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Medical Group, Inc., the Internal Medicine Past Accepting new patients

Locations

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

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1992878003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TOZER RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155510",
            "telephone_number": "978-712-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOZER RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155510",
            "telephone_number": "978-712-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MA",
            "license": "152058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "152058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3206670",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J17785",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddriscollmd60927@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "77 Herrick St",
            "address_2": "Ste 101",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019153012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.