Individual provider Active NPI

Jose Augusto Hidalgo, M.D.

  • Psychiatry Physician
  • Watertown, MA
National Provider Identifier
1013964899
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
74973 Issued in MA
Practice address
23 Main St
2ND Floor
Watertown, MA 02472-4403
Phone
(617) 413-1552
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 74973 MA Primary

Addresses

Primary practice location

23 Main St
2ND Floor
Watertown, MA 02472-4403

Mailing address

23 Main St
2ND Floor
Watertown, MA 02472-4403
Phone (617) 413-1552

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070310000061 MA Practitioner - Psychiatry 4183727209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
The Commonwealth of Massachusetts CurrentSince Nov 19, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Nov 19, 2025 Accepting new patients
The Commonwealth of Massachusetts Current Accepting new patients
Latino Health Institute Inc Past Accepting new patients

Locations

75 Fenwood Rd
Boston, MA 02115
Phone (617) 626-9300

85 Newton St
Boston, MA 02118
Phone (617) 305-9960

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

76 Amory St
Roxbury, MA 02119
Phone (617) 626-9300

Interoperability endpoints

  • Direct secure messaging: hidalgo.jose.mgh@direct.partners.masshiway.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013964899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724403",
            "telephone_number": "617-413-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724403",
            "telephone_number": "617-413-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "JOSE AUGUSTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "74973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.