Individual provider Active NPI

Charles Myron Blatt, MD

  • Cardiovascular Disease Physician
  • Brookline, MA
National Provider Identifier
1043277619
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45860 Issued in MA
Practice address
21 Longwood Ave
Lown Cardiovascular Group
Brookline, MA 02446
Phone
(617) 732-1318
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 45860 MA Primary

Addresses

Primary practice location

21 Longwood Ave
Lown Cardiovascular Group
Brookline, MA 02446

Mailing address

21 Longwood Ave
Lown Cardiovascular Group
Brookline, MA 02446
Phone (617) 732-1318

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
I20050429000172 MA Practitioner - Cardiovascular Disease (Cardiology) 8224077177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Columbia University College of Physicians and Surgeons, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lown Medical Group PLLCGroup PAC ID 1052843539, 12 clinicians

Practice addresses (Care Compare)

830 Boylston St
Suite 205
Chestnut Hill, MA 02467-2502
Phone (617) 732-1318

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45860MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lown Medical Group, PLLC Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Lown Cardiovascular Group, Inc. Cardiovascular Disease CurrentSince Dec 23, 1983 Accepting new patients

Locations

21 Longwood Ave
Brookline, MA 02446
Phone (617) 732-1318

830 Boylston St
Ste 205
Chestnut Hill, MA 02467
Phone (617) 732-1318

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJEBBA
  • Direct secure messaging: blatt.charles.lown@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1043277619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LONGWOOD AVE",
            "address_2": "LOWN CARDIOVASCULAR GROUP",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-732-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LONGWOOD AVE",
            "address_2": "LOWN CARDIOVASCULAR GROUP",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-732-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "CHARLES",
        "middle_name": "MYRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "45860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.