ADAM M SEGAL (M.D.) – Nephrology Physician, NPI 1164480810

ADAM M SEGAL (M.D.) is a healthcare provider. based in Burlington, Massachusetts. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 227171 (MA). The NPI Number for ADAM M SEGAL (M.D.) is 1164480810

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ADAM M SEGAL (M.D.)
NPI
1164480810
Phone
(781) 744-8430
Address
41 MALL ROAD
Enumeration Date
3 May 2006
Last Update Date
3 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
6406869437
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20060717000137
Address ID
MA018050001Bu41XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

458 NEPHROLOGY in MA

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Provider Addresses for ADAM M SEGAL (M.D.)

  • Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States

    LAHEY HOSPITAL & MEDICAL CENTER

    BURLINGTON, MA 018050001

    Phone: (781) 744-8430

    Fax: (781) 744-5397

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $738.

Total Amount is formed as General ($738) + Research ($0) + Ownership ($0) = $738.

Last reported payment date: 2024-01-08 • Largest payer in this snapshot: NxStage Medical, Inc. ($738).

Total Amount

$738

General + Research + Ownership

Payments

2

Total payment records

General Amount

$738

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
NxStage Medical, Inc.$738
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060717000137INephrologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes289154$0
99214Established patient office or other outpatient visit, 30-39 minutes258164$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16395$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9765$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5855$0
View full utilization report →

Insurance plans in this area (ZIP 01805)

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Provider's Procedures

ADAM M SEGAL (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMA83036Hemoglobin A1C level1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Is ADAM M SEGAL (M.D.) listed with a National Provider Identifier?
Yes — ADAM M SEGAL (M.D.) has NPI 1164480810 on file in the registry.
Active or inactive — what applies to ADAM M SEGAL (M.D.)?
You should see ADAM M SEGAL (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with ADAM M SEGAL (M.D.)?
ADAM M SEGAL (M.D.)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is ADAM M SEGAL (M.D.) associated with Burlington?
Public fields place ADAM M SEGAL (M.D.) around Burlington, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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