Organization Active NPI

The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
National Provider Identifier
1023049236
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THE GENERAL HOSPITAL CORPORATION
Practice address
55 Fruit St
Bulfinch 360
Boston, MA 02114-2621
Phone
(617) 726-2000
NPI assigned
Jul 5, 2006
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Sally Mason Boemer
Title
Evp
Phone
(617) 724-4537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

55 Fruit St
Bulfinch 360
Boston, MA 02114-2621

Mailing address

399 Revolution Dr
Assembly Row 5 East 29-09
Somerville, MA 02145-1446
Phone (857) 282-7317

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20060721000015 MA Part A Provider - Hospital 6507803806
O20080313000351 MA Part B Supplier - Clinic/Group Practice 6507803806 Receives reassigned benefits from 6,436 practitioners
Practice locations: Waltham, MA; Revere, MA; Newton, MA; Everett, MA; Danvers, MA; Concord, MA; Chelsea, MA; Charlestown, MA…
O20150527001474 MA Part A Provider - End-Stage Renal Disease Facility (ESRD) 6507803806 Practice locations: Boston, MA
O20150528000450 MA Part A Provider - Hospital 6507803806 Practice locations: Boston, MA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1023049236. Details of each certification follow.

Hospital certification: CCN 220071

Legal name
THE GENERAL HOSPITAL CORPORATION
Doing business as
MASSACHUSETTS GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 12, 2010
Beds
907
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 25, 1979 in MA
Enrollment address
55 Fruit St
Boston, MA 21142621
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

Hospital certification: CCN 22S071

Legal name
THE GENERAL HOSPITAL CORPORATION
Doing business as
MASSACHUSETTS GENERAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jul 25, 1979 in MA
Enrollment address
55 Fruit St, Blake 11
Boston, MA 21142129
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Massachusetts General HospitalCCN 220071 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 38)

1 Bowdoin Sq
Fl 11
Boston, MA 02114
Phone (617) 726-0220

15 Parkman St
Fl 6
Boston, MA 02114
Phone (617) 726-3456

165 Cambridge St
Fl 5
Boston, MA 02114
Phone (617) 726-1422

175 Cambridge St
Fl 5
Boston, MA 02114
Phone (617) 724-2561

275 Cambridge St
Boston, MA 02114
Phone (617) 724-6640

275 Cambridge St
Fl 3
Boston, MA 02114
Phone (617) 643-2175

30 Fruit St
Boston, MA 02114
Phone (617) 643-5670

5 Blossom St
Boston, MA 02114

5 Blossom St
Fl 2
Boston, MA 02114

50 Staniford St
Fl 10
Boston, MA 02114
Phone (617) 227-6076

55 Fruit St
#11
Boston, MA 02114
Phone (617) 724-5110

55 Fruit St
#360
Boston, MA 02114
Phone (617) 724-9725

55 Fruit St
#4427
Boston, MA 02114

55 Fruit St
#504
Boston, MA 02114
Phone (617) 724-7511

55 Fruit St
Bldg 5TH
Boston, MA 02114
Phone (617) 724-1994

55 Fruit St
Ste 6D
Boston, MA 02114
Phone (617) 726-2728

65 Landsdowne St
Fl 3
Cambridge, MA 02139
Phone (617) 768-6467

149 13th St
Bldg 149
Charlestown, MA 02129
Phone (617) 726-7805

76 Monument St
Charlestown, MA 02129
Phone (617) 643-5020

76 Monument St
Ste 1
Charlestown, MA 02129

100 Everett Ave
Ste 1
Chelsea, MA 02150

101 Park St
Chelsea, MA 02150

151 Everett Ave
#14
Chelsea, MA 02150

299 Everett Ave
Chelsea, MA 02150
Phone (617) 466-5001

104 Endicott St
Danvers, MA 01923
Phone (617) 726-2909

Ownership & related parties

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lizette M Perez-Deisboeck Individual Other Jan 31, 2022
OtherTrustee Dec 3, 2021
David H Long Individual Corporate Director Mar 4, 2016
OtherTrustee Jan 26, 2016
James Francis Mooney Individual Corporate Director Mar 2, 2018
OtherTrustee Feb 27, 2018
Mark Schwartz Individual Corporate Director Mar 3, 2017
OtherTrustee Jan 24, 2017
John Higham Individual Corporate OfficerSecretary Jan 15, 2010
W-2 Managing EmployeeLegal Counsel Jan 9, 2006
David Brown Individual Corporate DirectorPresident Sep 8, 2021
Operational/Managerial ControlPresident Sep 8, 2021
Corporate OfficerPresident Sep 8, 2021
Carmichael S Roberts Individual Other Jul 1, 2024
David F Swanson Individual Corporate OfficerAssistant Secretary Jul 21, 2023
Marcela G Delcarmen Individual Corporate Director Oct 1, 2021
Renee M Landers Individual Corporate Director Jul 21, 2017
OtherTrustee Jun 27, 2017
Yolonda L Colson Individual Corporate DirectorTrustee Sep 16, 2022
Anne Klibanski Individual Corporate OfficerPresident and Ceo May 1, 2019
Corporate DirectorInterim President and Ceo May 1, 2019
Carl J Martignetti Individual Corporate OfficerVice Chair Oct 1, 2019
Corporate DirectorTrustee Apr 19, 2013
Paul B Edgerley Individual OtherTrustees Jul 1, 2019
OtherTrustee Jul 1, 2019
Niyum Gandi Individual Corporate OfficerTreasurer Jul 16, 2021
Phillip Terry Ragon Individual Corporate DirectorTrustees Jul 18, 2014
Corporate DirectorTrustee Jul 18, 2014
Adelene Q Perkins Individual Corporate Director Jul 21, 2017
OtherTrustee Jun 27, 2017
Sally Mason Boemer Individual Corporate OfficerTreasurer Jul 18, 2006
W-2 Managing Employee May 1, 1999
Corporate OfficerAssistant Treasurer Jul 18, 2008
W-2 Managing EmployeeSr VP of Finance Jun 21, 1993
Diane B Patrick Individual Corporate OfficerVice Chair Oct 1, 2019
Jonathan a Kraft Individual Corporate OfficerChair Oct 1, 2019
Corporate DirectorTrustee Jul 16, 2010
Reshma Kewalramani Individual OtherTrustee Mar 5, 2021
William Maurice Cowan Individual Corporate DirectorTrustee Jul 18, 2014
Robin Walker Individual OtherTrustee May 25, 2021
Nitin Nohria Individual OtherTrustee Jun 23, 2015
Mass General Brigham Incorporated Organization, Boston, MA Non-profit Other Mar 18, 1994 100%
Shea S Asfaw Individual Corporate OfficerAssistant Secretary Jul 17, 2015
John B Belknap Individual W-2 Managing EmployeeChief Compliance Officer Apr 30, 2015

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wentworth Douglass HospitalDover, NH, CCN 300018 Hospital Other (100%) Jan 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6,663

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 6,663

Affiliated clinicians 5,588

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 5,588

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1023049236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "address_2": "ASSEMBLY ROW 5 EAST 29-09",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451446",
            "telephone_number": "857-282-7317",
            "fax_number": "617-726-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "BULFINCH 360",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GENERAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "BOEMER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "617-724-4537"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.