DEIRDRE CLARE GORMAN MD
NPI 1497382048
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deirdre Clare Gorman Md NPPES

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

DEIRDRE CLARE GORMAN MD (NPI 1497382048) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2020).

NPPES Registry Identity

NPI1497382048
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEIRDRE CLARE GORMANCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address115 Mill Street, Opc Mail Stop 229Belmont, MA 02478 · (603) 502-7122 · Fax (678) 737-1230
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1497382048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST, Boston, MA 02114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deirdre Clare Gorman Md 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 ID9739623620
PECOS Enrollment IDI20240702003812
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.

Medicare Billing Reassignment

Medicare enrollment records show Deirdre Gorman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
115 MILL ST
Belmont, MA 02478
  • Reassigned Medicare billing, Massachusetts enrollment
  • 422 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Deirdre Gorman's NPI number?

The NPI number for Deirdre Gorman is 1497382048. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Deirdre Gorman located?

Deirdre Gorman practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-5600.

What is Deirdre Gorman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Deirdre Gorman enrolled in Medicare?

Yes. Deirdre Gorman 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.

Which organization bills Medicare for Deirdre Gorman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deirdre Gorman reassigns Medicare benefits to The Mclean Hospital Corporation (Belmont, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deirdre Gorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Deirdre Gorman affiliated with any hospitals?

According to CMS data, Deirdre Gorman is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Deirdre Gorman was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.