DAVID G PATTISON (M.D.) – Internal Medicine Physician, NPI 1720198351

DAVID G PATTISON (M.D.) is a healthcare provider. based in Roxbury, Massachusetts. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 264764 (MA). The NPI Number for DAVID G PATTISON (M.D.) is 1720198351

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DAVID G PATTISON (M.D.)
NPI
1720198351
Phone
(617) 442-8800
Address
55 DIMOCK ST
Enumeration Date
30 August 2006
Last Update Date
25 October 2021

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
2264440494
Group Practice PAC ID
7416946546
Professional Enrollment ID
I20160226000961
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DAVID G PATTISON (M.D.)

  • Mary Eliza Mahoney House Family Shelter, 55, Dimock Street, Roxbury, Boston, Suffolk County, Massachusetts, 02130-0947, United States

    ROXBURY, MA 021191029

    Phone: (617) 442-8800

    Type: Mailing

  • Childrens Building, 45, Dimock Street, Roxbury, Boston, Suffolk County, Massachusetts, 02130-0947, United States

    ROXBURY, MA 021191208

    Phone: (617) 442-8800

    Type: Location

  • 150 S HUNTINGTON AVE

    BOSTON, MA 021304817

    Phone: (617) 435-1195

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-02-26

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
I20160226000961IInternal MedicineMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02119)

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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: 7416946546View full group profile
NameSpecialtyState
E N D O C R I N O L O G YMA
-MA
Internal MedicineMA
-MA
-MA
Family PracticeVA
Pulmonary DiseaseMA
Infectious Disease, Internal MedicineMA
Infectious DiseaseMA
Infectious Disease, Internal MedicineMA

Reviews

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Frequently asked questions

What unique ID ties claims to DAVID G PATTISON (M.D.)?
NPI 1720198351 is assigned to DAVID G PATTISON (M.D.) under the national enumeration system.
Is DAVID G PATTISON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DAVID G PATTISON (M.D.)'s specialty in plain language?
Clinically, the directory lists DAVID G PATTISON (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DAVID G PATTISON (M.D.)?
We surface Roxbury, Massachusetts for DAVID G PATTISON (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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