David Buckle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

150948 Issued in MA

Practice address

1340 Boylston St
Boston, MA 02215-4302

Phone

(617) 267-0900

Fax

(617) 927-5495

NPI assigned

Oct 12, 2005

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fenway Community Health Center, IncGroup PAC ID 0941299655, 79 clinicians

Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbuckle49857@direct.ctc.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fenway Community Health Center, Inc

  dba Fenway Health

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1003804725
  Medicare reassignment Care Compare group NPD
• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  Medicare reassignment Care Compare group NPD
• Fenway Community Health Center, Inc

  dba Fenway Community Hlth Pharmacy

  • Pharmacist
  • Boston, MA
  • NPI 1275647505
  NPD
• Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce

  dba Radiology - HMFP at BIDMC

  • Body Imaging Physician
  • Boston, MA
  • NPI 1275574899
  NPD (past)
• Icahn School of Medicine at Mount Sinai

  dba Beth Israel Medical Group of Mount Sinai

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568868834

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Care Compare affiliation
• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1013905108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154302",
            "telephone_number": "617-267-0900",
            "fax_number": "617-927-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154302",
            "telephone_number": "617-267-0900",
            "fax_number": "617-927-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "150948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9727540",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Buck
• Pamela Buck, PHD
• Rosanne K Buck, RN MS NNP-BC
• Stephanie Lynn Buckenheimer, AGNP-BC
• Farrah Buckhoree, MD, PHD
• Olivia Buckle, MD
• Diana Elizabeth Buckley Uhrich, RN., CPNP
• Amanda Buckley, CNP
• Anthony James Buckley, MB BCH BAO
• David Buckley

• Family Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.