SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
NPI 1376077552
Specialist in Beverly, MA

Q: What is Sports Medicine North Orthopaedic Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 14, 2017

30 TOZER RD, BEVERLY, MA 01915(978) 818-6350(978) 818-6355 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Apr 14, 2017 (2 updates tracked since 2017).

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About Sports Medicine North Orthopaedic Surgery, Inc. NPPES

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

SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. (NPI 1376077552) is a healthcare organization registered as a specialist in Beverly, Massachusetts and active in the NPI registry since April 2017. The organization lists Jeffrey Polansky, President, as its authorized official.

NPPES Registry Identity

NPI1376077552

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.

Location Address30 TOZER RDBeverly, MA 01915-5510

Mailing Address1 Orthopedics DrPeabody, MA 01960-1668 · (978) 818-6350 · Fax (978) 818-6355

Phone(978) 818-6350

Fax(978) 818-6355

Organization SubpartNo

Authorized OfficialJeffrey PolanskyPresident · (978) 818-6350

Enumeration DateApril 14, 2017

Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1376077552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

30 TOZER RD, Beverly, MA 01915

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Other Identifiers 1

Medicaid9773363MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports Medicine North Orthopaedic Surgery, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMassachusettsEnrollment IDO20171219001347DME · Physician - General PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON PELLETIER PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 745-3050

MARY THERESA LANGMAID RN, MSN, FNP-BC

Nurse Practitioner (Family)

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 745-3050

JENNIFER A VETTER PA

Physician Assistant

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 712-1100

ALYSSA S HANDLER M.D.

Internal Medicine

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 712-1100

PEDIATRIC ASSOCIATES OF GREATER SALEM, INC

Pediatrics

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 745-3050

NICOLE M LEAVER APRN BC

Nurse Practitioner (Adult Health)

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 712-1100

SHARON L ADLER APRN

Registered Nurse (Lactation Consultant)

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 745-3050

CYNTHIA P SFEIR MD

Internal Medicine (Nephrology)

30 TOZER RD
BEVERLY, MA 01915

Essex County (978) 712-1100

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 Sports Medicine North Orthopaedic Surgery, Inc.'s NPI number?

The NPI number for Sports Medicine North Orthopaedic Surgery, Inc. is 1376077552. It was assigned to this organization in the NPPES registry on April 14, 2017.

Where is Sports Medicine North Orthopaedic Surgery, Inc. located?

Sports Medicine North Orthopaedic Surgery, Inc. is located at 30 Tozer Rd, Beverly, MA 01915. The listed phone number is (978) 818-6350.

What is Sports Medicine North Orthopaedic Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sports Medicine North Orthopaedic Surgery, Inc. enrolled in Medicare?

Yes. Sports Medicine North Orthopaedic Surgery, Inc. is registered in the Medicare PECOS enrollment system.

When is Sports Medicine North Orthopaedic Surgery, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Massachusetts, Physician - General Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Sports Medicine North Orthopaedic Surgery, Inc. was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.