Active NPI
Myron Siu, M.D.
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214180
- Practice address
- Tufts-Nemc
750 Washington Street, Nemc #796
Boston, MA 02111 - Phone
- (617) 636-2673
- NPI assigned
- Sep 22, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 214180 | MA | Primary |
Addresses
Primary practice location
Tufts-Nemc
750 Washington Street, Nemc #796
Boston, MA 02111
Mailing address
Tufts-Nemc
750 Washington Street, Nemc #796
Boston, MA 02111
Phone (617) 636-2673
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, San Diego School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
- Pathways Healthcare
- Tufts Medicine Care at Home
- Tufts Medical Center
- Melrosewakefield Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Internal Medicine | Past | Accepting new patients |
| Tufts Medical Center, Inc. | Past | Accepting new patients | |
| Medical Care of Boston Management Corporation | Internal Medicine | Past | Accepting new patients |
Locations
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
Interoperability endpoints
- msiu29335@tuftsmedicine.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1275570319
-
- Pulmonary Disease Physician
- Boston, MA
- NPI 1508187642
-
- Cardiovascular Disease Physician
- Boston, MA
- NPI 1841510633
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1053350306
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- Home Health Agency
- Westwood, MA
- NPI 1740529668
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
-
- Home Health Agency
- Lowell, MA
- NPI 1336443472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033218359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TUFTS-NEMC",
"address_2": "750 WASHINGTON STREET, NEMC #796",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TUFTS-NEMC",
"address_2": "750 WASHINGTON STREET, NEMC #796",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "MYRON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "214180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.