Individual provider

Heidi Ginter, M.D.

Addiction Medicine (Family Medicine) Physician Family Medicine Physician Medicare enrolled

Heidi Ginter, M.D. is an Addiction Medicine (Family Medicine) Physician in Stoughton, MA, registered under NPI 1659356574. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 150 YORK ST, Stoughton, MA 02072. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

150 YORK ST, Stoughton, MA 02072 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
159349 MA Addiction Medicine (Family Medicine)… primary
16460 NH Addiction Medicine (Family Medicine)…
52615 CT Addiction Medicine (Family Medicine)…
159349 MA Family Medicine Physician
MD19870 ME Addiction Medicine (Family Medicine)…

Licences are recorded in 4 states: MA, NH, CT, ME. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
6709177389

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Massachusetts I20161116000980 Practitioner - Family Practice
North Carolina I20240515001883 Practitioner - Addiction Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. There are 2 separate enrolment records across 2 states (MA, NC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: Connecticut, Massachusetts, Maine and New Hampshire. The practice address on file is in Stoughton, MA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut
Licence
52615
Specialty
Addiction Medicine (Family Medicine)…
Verify with the CT board →
MA Massachusetts practice address
Licence
159349
Specialty
Addiction Medicine (Family Medicine)…
Verify with the MA board →
ME Maine
Licence
MD19870
Specialty
Addiction Medicine (Family Medicine)…
Verify with the ME board →
NH New Hampshire
Licence
16460
Specialty
Addiction Medicine (Family Medicine)…
Verify with the NH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Addiction Medicine covers

A family medicine physician who specializes in the diagnosis and treatment of addictions. NUCC Health Care Provider Taxonomy, code 207QA0401X
Allopathic & Osteopathic Physicians Family Medicine Addiction Medicine

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207QA0401X Addiction Medicine (Family Medicine) Physician Addiction Medicine 159349 MA primary
207QA0401X Addiction Medicine (Family Medicine) Physician Addiction Medicine 16460 NH
207QA0401X Addiction Medicine (Family Medicine) Physician Addiction Medicine 52615 CT
207Q00000X Family Medicine Physician 159349 MA
207QA0401X Addiction Medicine (Family Medicine) Physician Addiction Medicine MD19870 ME

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1659356574 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 14, 2005
Last updatedApr 1, 2026
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 150 YORK ST
Stoughton, MA 02072
(781) 297-7000
Mailing address 176 QUINCY AVE
Brockton, MA 02302
Other identifiers 1301071 · Medicaid (MA)
1306421 · Medicaid (MA)
1308785 · Medicaid (MA)
This record was updated on Apr 1, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1659356574 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 5 9 3 5 6 5 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 1 9 6 5 3 5 5

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1659356574?
NPI 1659356574 is the National Provider Identifier assigned to Heidi Ginter, M.D. in Stoughton, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction Medicine cover?
A family medicine physician who specializes in the diagnosis and treatment of addictions.
How do I contact Heidi Ginter, M.D.?
The phone number on file with NPPES is (781) 297-7000, last updated Apr 1, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Heidi Ginter, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1659356574 a valid number?
Yes. 1659356574 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.