Active NPI
Michael E Coyle, M.D.
- Hematology & Oncology Physician
- Lowell, MA
National Provider Identifier
1083848436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 254823
- Practice address
- 295 Varnum Ave
Lowell, MA 01854-2193 - Phone
- (978) 937-6258
- Fax
- (978) 788-7968
- NPI assigned
- May 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | 254823 | MA | Primary |
Addresses
Primary practice location
295 Varnum Ave
Lowell, MA 01854-2193
Mailing address
800 Washington St #245
Tufts Medical Center
Boston, MA 02111
Phone (617) 636-6227
Other practice location 1
800 Washington St #245
Tufts Medical Center
Boston, MA 02111
Phone (617) 636-6227
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
- Hematology/Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344
Hospital & facility affiliations
- Lowell General Hospital
- Tufts Medical Center
- Emerson Hospital -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254823 | MA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Medical Group, Inc. | Hematology & Oncology | Current | Accepting new patients |
| LGH Professional Services LLC | Past | Accepting new patients |
Locations
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
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.
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1083848436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST #245",
"address_2": "TUFTS MEDICAL CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-6227",
"fax_number": "617-636-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542193",
"telephone_number": "978-937-6258",
"fax_number": "978-788-7968"
}
],
"practiceLocations": [
{
"address_1": "800 Washington St #245",
"address_2": "Tufts Medical Center",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02111",
"country_code": "US",
"telephone_number": "617-636-6227",
"fax_number": "617-636-8538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COYLE",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-13",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MA",
"license": "254823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.