Active NPI
Charles Joseph Dow, M.D.
- Cardiovascular Disease Physician
- Roxbury Crossing, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 77999
- Practice address
- 125 Parker Hill Ave
Fogg 430
Roxbury Crossing, MA 02120-2847 - Phone
- (617) 264-4500
- Fax
- (617) 232-4153
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 77999 | MA | Primary |
Addresses
Primary practice location
125 Parker Hill Ave
Fogg 430
Roxbury Crossing, MA 02120-2847
Mailing address
125 Parker Hill Avenue
Fogg 430
Boston, MA 02120-2847
Phone (617) 264-4500
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00426745 | Other | MA | MEDICARE RAILROAD |
| 0014371 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 304011 | Other | MA | HARVARD PILGRIM |
| B20498801 | Other | MA | CIGNA |
| J30900 | Other | MA | BLUE CROSS / BLUE SHIELD |
| 795212 | Other | MA | TUFTS |
| 795212 | Other | MA | SECURE HORIZON |
| 25-00469 | Other | MA | UNITED HEALTHCARE |
| 304011 | Other | MA | FIRST SENIORITY |
| 0099832 | Other | MA | AETNA |
| 28771 | Other | MA | FALLON |
| 3130789 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050726000256 | MA | Practitioner - Cardiovascular Disease (Cardiology) | 0840227427 | Practice locations: Boston, MA; Brighton, MA; Hyde Park, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Tufts University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 264-4500
736 Cambridge St
Brighton, MA 02135-2907
Phone (917) 789-3000
Hospital & facility affiliations
- New England Baptist Hospital
- Boston Medical Center-Brighton
- Beth Israel Deaconess Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Heart Group | Cardiovascular Disease | Past | Accepting new patients |
| Hyde Park Behavioral Health | Past | Accepting new patients | |
| Hyde Park Behavioral Health | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDIIBA/Endpoint/CDIIBA
- charles.dow@cjdc.eclinicaldirectplus.com
- cdow254488@direct.bilh.masshiway.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Brookline, MA
- NPI 1306877923
-
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
- NPI 1568127157
-
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
- NPI 1639765894
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1023043874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVENUE",
"address_2": "FOGG 430",
"city": "BOSTON",
"state": "MA",
"postal_code": "021202847",
"telephone_number": "617-264-4500",
"fax_number": "617-232-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVE",
"address_2": "FOGG 430",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202847",
"telephone_number": "617-264-4500",
"fax_number": "617-232-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOW",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "77999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00426745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0014371",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "304011",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20498801",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "J30900",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "795212",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZON",
"identifier": "795212",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25-00469",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST SENIORITY",
"identifier": "304011",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0099832",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "28771",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3130789",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.