Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam Basel Pissaris

Individual provider Emergency Medicine Physician · NPI 1023564507

Adam Basel Pissaris is an Emergency Medicine in Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2016
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-4068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-2621 — (781) 744-8000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 284195 (MA)

Record details

NPI number1023564507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 25, 2016
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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