JONATHAN VANDALE PA-C
NPI 1154805281
Orthopaedic Surgery - Sports Medicine in Boston, MA

Q: What is Jonathan Vandale's NPI number?

The NPI number for Jonathan Vandale is 1154805281. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Q: What is Jonathan Vandale's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Vandale was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment

60 FENWOOD RD FL 2, BOSTON, MA 02115(617) 732-5322 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jonathan Vandale Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN VANDALE PA-C (NPI 1154805281) is an individual sports medicine provider in Boston, Massachusetts, licensed in Massachusetts (PA6762) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154805281

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameJONATHAN VANDALECredential: PA-C

Location Address60 FENWOOD RD FL 2Boston, MA 02115-6128

Mailing Address831 E 2nd St # 2South Boston, MA 02127-2333 · (413) 262-9376

Phone(617) 732-5322

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 25, 2018

✔ NPI 1154805281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in MA · PA6762

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

60 FENWOOD RD FL 2, Boston, MA 02115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Vandale Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052656717

PECOS Enrollment IDI20181227001786

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Vandale's NPI number?

The NPI number for Jonathan Vandale is 1154805281. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Jonathan Vandale located?

Jonathan Vandale practices at 60 Fenwood Rd Fl 2, Boston, MA 02115. The listed phone number is (617) 732-5322.

What is Jonathan Vandale's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jonathan Vandale enrolled in Medicare?

Yes. Jonathan Vandale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jonathan Vandale affiliated with any hospitals?

According to CMS data, Jonathan Vandale is affiliated with North Shore Medical Center -, Massachusetts General Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Vandale was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.